session_id
int64 4
48.9k
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stringclasses 20
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listlengths 4
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|---|---|---|
19,525
|
Vaginitis
|
[
{
"role": "user",
"content": "I have curd-like vaginal discharge, pain during urination, and a wound near the vulva that cannot be treated with topical medication, so I can only take oral medication. Can I take Metronidazole?"
},
{
"role": "assistant",
"content": "Do you have any other symptoms?"
},
{
"role": "user",
"content": "For ten days, I've had lower back pain. Because of the wound near the vulva, I tried to let it heal on its own, but it got worse."
},
{
"role": "user",
"content": "I haven't been to the hospital."
},
{
"role": "assistant",
"content": "Alright."
},
{
"role": "user",
"content": "The discharge may be due to inflammation, which prevents the wound from healing."
},
{
"role": "assistant",
"content": "To better target the medication, could you take a photo of the affected area for me to see?"
},
{
"role": "assistant",
"content": "Due to distance and equipment limitations, if it has been 7-10 days past when you expected your period, I suggest you buy a pregnancy test or go to the hospital for a check-up."
},
{
"role": "assistant",
"content": "Has your vaginal discharge been abnormal? For example, has the amount increased, become thicker, changed color, turned foamy or curd-like, or has an odor?"
},
{
"role": "user",
"content": "It's thick and curd-like but hasn't changed color and doesn't have an odor."
},
{
"role": "assistant",
"content": "Do you have any history of medical examinations, medication, drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? If none of the above, you can reply \"None.\""
},
{
"role": "assistant",
"content": "Alright."
},
{
"role": "user",
"content": "I had a labia minora resection that didn't heal well."
},
{
"role": "user",
"content": "The wound can't be treated with topical medication."
},
{
"role": "user",
"content": "The wound hasn't healed for eleven days."
},
{
"role": "assistant",
"content": "Is it easy to apply topical medication to the wound?"
},
{
"role": "user",
"content": "I apply iodine once a day after urinating and clean it with physiological alcohol in the bathroom."
},
{
"role": "assistant",
"content": "Do you have any history of allergies?"
},
{
"role": "user",
"content": "I've had ice packs on the wound for three days after surgery and started feeling discomfort in the vagina and urethra, as well as severe lower back pain."
},
{
"role": "user",
"content": "Erythromycin didn't work."
},
{
"role": "assistant",
"content": "You can take oral antibiotics and observe for a while."
},
{
"role": "user",
"content": "Okay, I've been bedridden and haven't gone out."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
11,482
|
Vaginitis
|
[
{
"role": "user",
"content": "White discharge like tofu residue"
},
{
"role": "assistant",
"content": "Okay"
},
{
"role": "assistant",
"content": "How long have you had the symptoms?"
},
{
"role": "user",
"content": "Just for the past couple of days"
},
{
"role": "user",
"content": "I had it before, and I used Bitherine vaginal gel, which was left over from before"
},
{
"role": "user",
"content": "I just started using it today"
},
{
"role": "assistant",
"content": "Has the medication helped?"
},
{
"role": "user",
"content": "I just started today, but I used it before and it has always been this one"
},
{
"role": "assistant",
"content": "Do you want to purchase this one again?"
},
{
"role": "user",
"content": "Currently, there are no other issues. I noticed that my vaginal discharge turned yellow a few days ago, and it changed to this state in about two days. I used one today but haven't seen much improvement yet, and I don't have any itching."
},
{
"role": "user",
"content": "If possible, I’d like to use the same one or something that can address this symptom."
},
{
"role": "assistant",
"content": "Okay"
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies, chronic diseases, or are you in a special period: pregnant, pre-pregnancy, or breastfeeding? If you are in the pre-pregnancy period, you need to rule out the possibility of being pregnant (Note: Males can ignore this). If none of the above applies, you can reply with “None.”"
},
{
"role": "user",
"content": "I want to ask why this happens frequently, maybe every few months or half a year?"
},
{
"role": "user",
"content": "There are no specific symptoms, just an increase in vaginal discharge, and I feel a bit tired."
},
{
"role": "assistant",
"content": "It can be related to a damp environment and a decrease in your immune system."
},
{
"role": "user",
"content": "Should I take some Vitamin C?"
},
{
"role": "user",
"content": "Is this vaginal infection incurable?"
},
{
"role": "assistant",
"content": "Yes, you can take Vitamin C as a supplement."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
22,305
|
Vaginitis
|
[
{
"role": "user",
"content": "Hello, doctor. There are small granules at my vaginal opening, like pomelo seeds, which are very itchy and uncomfortable. This has been going on for about two days, and there is a white, tofu-like substance on the granules."
},
{
"role": "user",
"content": "I’m not sure if it’s erosion or vaginal discharge."
},
{
"role": "user",
"content": "It’s very scary, white and sticky on the surface. Is it a sexually transmitted disease?"
},
{
"role": "assistant",
"content": "Okay."
},
{
"role": "assistant",
"content": "Do you have a history of sexual activity?"
},
{
"role": "user",
"content": "Yes"
},
{
"role": "assistant",
"content": "It may be candidiasis of the vagina."
},
{
"role": "user",
"content": "Is this acute?"
},
{
"role": "user",
"content": "I usually don’t have any discomfort."
},
{
"role": "assistant",
"content": "Okay."
},
{
"role": "assistant",
"content": "The symptoms you’re experiencing may have started recently."
},
{
"role": "user",
"content": "What could have caused it?"
},
{
"role": "user",
"content": "Should I avoid sexual activity?"
},
{
"role": "assistant",
"content": "If you have granules, it is recommended to seek medical examination to rule out other infections."
},
{
"role": "user",
"content": "What other infections could be present, doctor?"
},
{
"role": "assistant",
"content": "Generally, they are contagious diseases."
},
{
"role": "user",
"content": "Could it be HIV?"
},
{
"role": "assistant",
"content": "It cannot be ruled out."
},
{
"role": "user",
"content": "It’s been about 10 days since the sexual activity. Can I get a blood test now?"
},
{
"role": "assistant",
"content": "Usually, you need to wait about 4 weeks after sexual activity for HPV testing."
},
{
"role": "user",
"content": "HPV or HIV?"
},
{
"role": "assistant",
"content": "I’m not sure which one specifically, you should get tested."
},
{
"role": "user",
"content": "What should I do now?"
},
{
"role": "assistant",
"content": "It is recommended to use medication for vaginitis first."
},
{
"role": "assistant",
"content": "Additionally, take some immunostimulants."
},
{
"role": "user",
"content": "Can I eat bird’s nest?"
},
{
"role": "assistant",
"content": "It is recommended to use prescribed medication."
},
{
"role": "user",
"content": "Based on my situation, can you prescribe some medication for me?"
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies, chronic diseases, or are you in a special period (pregnant, planning to conceive, or breastfeeding)?"
},
{
"role": "user",
"content": "No"
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
28,989
|
Vaginitis
|
[
{
"role": "user",
"content": "Itching in the genital area, a lot of cottage cheese-like discharge from the vagina, unsure if it is an infection."
},
{
"role": "assistant",
"content": "Hello, is there anything else I can help you with? Please provide me with detailed information so I can give you a specific answer."
},
{
"role": "user",
"content": "I started feeling itchy yesterday, and this morning when I took a shower, I noticed a lot of cottage cheese-like discharge from the vagina. I haven’t taken any medication, but I recently had chickenpox and took some kind of hydrochloride drug."
},
{
"role": "user",
"content": "Is it an infection, doctor?"
},
{
"role": "assistant",
"content": "It seems there might be an infection."
},
{
"role": "user",
"content": "Yes, my partner came back from work last night and said his glans was very itchy and the foreskin was red."
},
{
"role": "user",
"content": "Can you prescribe some medicine for both of us?"
},
{
"role": "user",
"content": "I feel my symptoms are more severe, the cottage cheese-like discharge is a lot, and I wonder if I can use Fun净 (Fujing) to wash."
},
{
"role": "assistant",
"content": "Yes, you can."
},
{
"role": "user",
"content": "Could you recommend which medicines I should buy?"
},
{
"role": "assistant",
"content": "To avoid repeated medication, have you used any medication before? If so, please inform me of the specific drug names."
},
{
"role": "user",
"content": "No, I haven't used any."
},
{
"role": "assistant",
"content": "Have you ever sought medical care, used any medications, had any drug allergies, or any chronic diseases? Are you in a special period (such as pregnancy or breastfeeding) (note: males can skip this, mainly checking for allergies and other conditions)?"
},
{
"role": "user",
"content": "No"
},
{
"role": "assistant",
"content": "Have you never had sexual intercourse? This is mainly to determine whether vaginal administration is appropriate, without any other implications."
},
{
"role": "user",
"content": "I have had sexual intercourse."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
6,432
|
Vaginitis
|
[
{
"role": "user",
"content": "Hello, I previously went to the hospital for treatment of vaginitis, but even after it was cured, it tends to recur before and after my menstrual period."
},
{
"role": "assistant",
"content": "Okay"
},
{
"role": "assistant",
"content": "Do you have any abnormal vaginal discharge? Including increased volume, thick, discolored, foamy, or cottage cheese-like discharge, or a fishy smell?"
},
{
"role": "user",
"content": "Yes, it can be yellow or cottage cheese-like."
},
{
"role": "assistant",
"content": "Okay"
},
{
"role": "assistant",
"content": "Have you had sexual intercourse before?"
},
{
"role": "user",
"content": "Yes"
},
{
"role": "assistant",
"content": "It's important to pay attention before and after your menstrual period."
},
{
"role": "assistant",
"content": "Precautions for vaginitis:"
},
{
"role": "user",
"content": "I was prescribed Hong He Wash."
},
{
"role": "user",
"content": "Later, I was advised to use baking soda for cleaning."
},
{
"role": "user",
"content": "I was also prescribed Nitrofurazone Metronidazole Vaginal Soft Capsules."
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies, chronic diseases, or are you in a special period (pregnant, trying to conceive, or breastfeeding)? If you are trying to conceive, you need to rule out the possibility of already being pregnant."
},
{
"role": "assistant",
"content": "Okay"
},
{
"role": "user",
"content": "No allergies, I am not in a special period."
},
{
"role": "user",
"content": "But my menstrual period might start next week."
},
{
"role": "assistant",
"content": "Okay"
},
{
"role": "user",
"content": "Okay, thank you."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
3,596
|
Vaginitis
|
[
{
"role": "user",
"content": "Current main symptom: Vaginitis"
},
{
"role": "assistant",
"content": "Hello, currently there are many people consulting online, please be patient."
},
{
"role": "assistant",
"content": "Hello, I am glad to be able to help you! What can I assist you with?"
},
{
"role": "user",
"content": "No"
},
{
"role": "assistant",
"content": "Is your vaginal discharge curd-like, watery, or purulent?"
},
{
"role": "user",
"content": "Sometimes it's watery, but mostly purulent."
},
{
"role": "assistant",
"content": "Is the color of the discharge normal?"
},
{
"role": "user",
"content": "It's a bit yellow."
},
{
"role": "user",
"content": "Did you see the pictures I sent? I had a routine check-up of the vaginal discharge."
},
{
"role": "assistant",
"content": "Have you used any medication?"
},
{
"role": "user",
"content": "I am not using any medication now."
},
{
"role": "assistant",
"content": "Have you used any medication before?"
},
{
"role": "assistant",
"content": "Have you followed up with a doctor?"
},
{
"role": "user",
"content": "I used to."
},
{
"role": "user",
"content": "This check-up was done not long ago, just over a week."
},
{
"role": "user",
"content": "Every time I went for a check-up, the doctor would prescribe medication, but this time it was a health check-up at a health check-up company."
},
{
"role": "assistant",
"content": "What was the name of the medication you used before?"
},
{
"role": "user",
"content": "I don’t remember now. One was for rinsing, and one was inserted."
},
{
"role": "user",
"content": "I think it was used either last year or the year before."
},
{
"role": "assistant",
"content": "Do you have any history of medical visits or medication use? Any history of drug allergies, chronic diseases, or are you in any special period (such as pregnancy or breastfeeding, note: males can ignore this, mainly focusing on allergy history and other conditions)?"
},
{
"role": "user",
"content": "This time, I did feel a bit uncomfortable, but it has improved a bit in the past few days."
},
{
"role": "user",
"content": "No"
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
9,334
|
Vaginitis
|
[
{
"role": "user",
"content": "Patchy white discharge"
},
{
"role": "user",
"content": "It has been recurring for many years"
},
{
"role": "assistant",
"content": "Have you seen a doctor about it?"
},
{
"role": "user",
"content": "I have seen many doctors"
},
{
"role": "user",
"content": "But it hasn't worked"
},
{
"role": "assistant",
"content": "What was the diagnosis?"
},
{
"role": "user",
"content": "It recurs every month"
},
{
"role": "user",
"content": "Candida vaginitis"
},
{
"role": "assistant",
"content": "Have you used any other medications during the course of treatment?"
},
{
"role": "user",
"content": "Prescription drugs from the hospital"
},
{
"role": "assistant",
"content": "Have you used Clotrimazole vaginal tablets?"
},
{
"role": "user",
"content": "The ones I used most often are the ones prescribed by the hospital"
},
{
"role": "user",
"content": "I have used a pack of three tablets this month"
},
{
"role": "user",
"content": "It flared up again today"
},
{
"role": "assistant",
"content": "Candida infections are known to be stubborn and prone to recurrence"
},
{
"role": "assistant",
"content": "Did your partner use any medication during the treatment?"
},
{
"role": "user",
"content": "The frequency of recurrence has increased"
},
{
"role": "user",
"content": "My partner didn't use any"
},
{
"role": "user",
"content": "What medication should my partner use?"
},
{
"role": "user",
"content": "His tests came back negative"
},
{
"role": "assistant",
"content": "Has your partner been tested for Candida?"
},
{
"role": "user",
"content": "Yes"
},
{
"role": "user",
"content": "He tested negative"
},
{
"role": "assistant",
"content": "Have you used Miconazole nitrate suppositories?"
},
{
"role": "user",
"content": "Is it a bit oily?"
},
{
"role": "user",
"content": "I'm not sure"
},
{
"role": "assistant",
"content": "Yes, it is a bit oily"
},
{
"role": "user",
"content": "Do I use it every day?"
},
{
"role": "user",
"content": "I think I have used it before but it didn't work"
},
{
"role": "assistant",
"content": "Does it improve for a while and then recur, or has it been persistent?"
},
{
"role": "user",
"content": "It gets better with medication. Then it recurs once a month"
},
{
"role": "user",
"content": "Sometimes it takes a bit longer"
},
{
"role": "user",
"content": "In recent years, it feels more frequent than before"
},
{
"role": "assistant",
"content": "Do you often stay up late?"
},
{
"role": "user",
"content": "I tend to go to bed late"
},
{
"role": "assistant",
"content": "Do you take anything to boost your immunity regularly?"
},
{
"role": "user",
"content": "I have been taking Shan Chun recently"
},
{
"role": "assistant",
"content": "Do you have any drug allergies, chronic diseases, or a history of long-term medication use?"
},
{
"role": "user",
"content": "Hypothyroidism"
},
{
"role": "assistant",
"content": "For your medication safety, the purchase of prescription drugs requires further judgment by a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
48,609
|
Vaginitis
|
[
{
"role": "user",
"content": "Hello, I noticed today that my vaginal discharge has turned brown."
},
{
"role": "assistant",
"content": "Is this during your period?"
},
{
"role": "user",
"content": "It smells a bit fishy, like blood."
},
{
"role": "assistant",
"content": "Have you recently eaten raw, cold, spicy, greasy, or seafood foods?"
},
{
"role": "user",
"content": "After some time, it turns sour on my underwear."
},
{
"role": "user",
"content": "I have eaten spicy food."
},
{
"role": "user",
"content": "It's been two weeks since my period ended."
},
{
"role": "user",
"content": "I have also eaten seafood."
},
{
"role": "assistant",
"content": "Is your period usually on time?"
},
{
"role": "user",
"content": "Not very regular."
},
{
"role": "user",
"content": "Sometimes it's delayed."
},
{
"role": "assistant",
"content": "Is there any abnormality in your vaginal discharge? Such as increased amount, thickness, color change, foamy or curd-like, or a fishy smell?"
},
{
"role": "assistant",
"content": "What color is your vaginal discharge?"
},
{
"role": "user",
"content": "Brown."
},
{
"role": "assistant",
"content": "What color was your vaginal discharge before your period?"
},
{
"role": "user",
"content": "But it doesn't itch."
},
{
"role": "user",
"content": "All kinds of colors?"
},
{
"role": "user",
"content": "It varies at different times."
},
{
"role": "assistant",
"content": "Usually yellow or yellowish-green."
},
{
"role": "user",
"content": "A little yellow."
},
{
"role": "assistant",
"content": "Has your vaginal discharge changed color, smell, or become curd-like?"
},
{
"role": "user",
"content": "Brown."
},
{
"role": "user",
"content": "It smells a bit like blood."
},
{
"role": "assistant",
"content": "Do you have a sexual history?"
},
{
"role": "user",
"content": "After some time, it turns sour."
},
{
"role": "user",
"content": "Yes."
},
{
"role": "user",
"content": "It doesn't itch."
},
{
"role": "assistant",
"content": "Do you have any drug allergies, chronic diseases, or are you in any special period (such as pregnancy, preparing for pregnancy, or breastfeeding)? If you are preparing for pregnancy, it is important to rule out pregnancy."
},
{
"role": "user",
"content": "No."
},
{
"role": "assistant",
"content": "For your safety, we need to make further judgments before prescribing medication. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
12,032
|
Vaginitis
|
[
{
"role": "user",
"content": "Vaginal inflammation"
},
{
"role": "assistant",
"content": "Is there any abnormal vaginal discharge? Including increased amount, thick, changed color, frothy or cottage cheese-like, or foul odor?"
},
{
"role": "user",
"content": "Hello, it's in the hairy area of my private parts."
},
{
"role": "user",
"content": "There are red and swollen bumps."
},
{
"role": "assistant",
"content": "Okay."
},
{
"role": "assistant",
"content": "Does it itch or hurt?"
},
{
"role": "user",
"content": "It comes up from time to time, usually just one. It doesn't hurt if you don't touch it, but it hurts when you touch it. Occasionally, the red and swollen bump will pus a little. But it gets better on its own after a few days."
},
{
"role": "user",
"content": "This time, there are two red and swollen bumps in the hairy area."
},
{
"role": "user",
"content": "Also, my vaginal discharge is abnormal, more, yellow, and has a strong smell."
},
{
"role": "assistant",
"content": "Okay."
},
{
"role": "assistant",
"content": "It might be folliculitis."
},
{
"role": "assistant",
"content": "Is there any accompanying itching?"
},
{
"role": "assistant",
"content": "Is there any accompanying itching?"
},
{
"role": "user",
"content": "The vaginal discharge doesn't itch. It's just more, yellow, and has a strong smell."
},
{
"role": "user",
"content": "What medicine should I use for folliculitis?"
},
{
"role": "user",
"content": "It comes up from time to time."
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies, chronic diseases, or are you in a special period: are you pregnant, planning to conceive, or breastfeeding? If you are planning to conceive, you need to rule out the possibility of being pregnant (Note: males ignore this). If none of the above apply, you can reply \"none.\""
},
{
"role": "user",
"content": "None. I bought some Fuyan Kang tablets last night and have taken them twice."
},
{
"role": "assistant",
"content": "Prescribed."
},
{
"role": "assistant",
"content": "Do you have a history of sexual activity?"
},
{
"role": "user",
"content": "I use protection."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
6,953
|
Vaginitis
|
[
{
"role": "user",
"content": "Bacterial vaginitis, vulvar itching"
},
{
"role": "assistant",
"content": "Have you noticed any abnormal vaginal discharge, such as thick and curd-like, greenish-yellow frothy, or thin and grayish with a fishy odor?"
},
{
"role": "user",
"content": "It has been recurring."
},
{
"role": "user",
"content": "No cottage cheese-like discharge."
},
{
"role": "assistant",
"content": "Have you used any medications during this period?"
},
{
"role": "user",
"content": "My underwear turns yellow."
},
{
"role": "user",
"content": "I am using metronidazole wash solution."
},
{
"role": "user",
"content": "No other medications."
},
{
"role": "assistant",
"content": "Okay, how has the medication you are using improved your condition?"
},
{
"role": "user",
"content": "Not very effective."
},
{
"role": "user",
"content": "Can I add some cream?"
},
{
"role": "assistant",
"content": "Have you been officially diagnosed with bacterial vaginitis by a hospital?"
},
{
"role": "user",
"content": "Yes."
},
{
"role": "assistant",
"content": "Okay, do you have a history of sexual activity? This is mainly to determine if vaginal medication can be used, with no other implications."
},
{
"role": "user",
"content": "Should I also take medication for hand fungus?"
},
{
"role": "user",
"content": "Yes."
},
{
"role": "assistant",
"content": "Vaginal medication in combination with your wash solution might help improve the condition."
},
{
"role": "assistant",
"content": "Have you had any medical consultations or drug allergy history, chronic diseases, or are you in a special period (pregnant, breastfeeding, etc.)? If none of these apply, please reply \"None.\""
},
{
"role": "user",
"content": "I also need medication for vulvar itching and hand fungus."
},
{
"role": "user",
"content": "None."
},
{
"role": "user",
"content": "Okay."
},
{
"role": "assistant",
"content": "Do you still have hand fungus at the moment? Are there any symptoms such as itching, pain, or peeling?"
},
{
"role": "user",
"content": "The hand fungus is itchy, which is due to improper use of cleansing cotton pads."
},
{
"role": "user",
"content": "It has been a long time."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
43,943
|
Vaginitis
|
[
{
"role": "user",
"content": "I have an unpleasant smell down there. Which medicine should I use?"
},
{
"role": "assistant",
"content": "Is your vaginal discharge abnormal? For example, increased amount, thicker consistency, change in color, frothy or curd-like, or with a fishy odor?"
},
{
"role": "user",
"content": "The smell started the day after intercourse."
},
{
"role": "user",
"content": "I can faintly smell a slight fishy odor."
},
{
"role": "assistant",
"content": "Okay, besides that, do you have any other symptoms?"
},
{
"role": "user",
"content": "It's a bit itchy, nothing else."
},
{
"role": "user",
"content": "I wonder if it's because my husband is not clean or something."
},
{
"role": "assistant",
"content": "To avoid repeated medication, have you used any drugs for treatment before? If so, please provide the specific names."
},
{
"role": "user",
"content": "I used a vaginal suppository from the Women's and Children's Hospital before."
},
{
"role": "user",
"content": "I can't remember the exact name."
},
{
"role": "assistant",
"content": "Do you have any history of medical consultations, medication use, drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)?"
},
{
"role": "user",
"content": "None"
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
28,650
|
Vaginitis
|
[
{
"role": "user",
"content": "Recently, occasional itching and pain in the vagina, with blood."
},
{
"role": "assistant",
"content": "Are there any abnormalities in the vaginal discharge? Such as increased discharge, thicker consistency, color change, foamy or curd-like appearance, or a fishy smell?"
},
{
"role": "user",
"content": "No"
},
{
"role": "user",
"content": "Can the medicine you recommended just now be replaced with another one?"
},
{
"role": "assistant",
"content": "What medicine?"
},
{
"role": "assistant",
"content": "I can't see the record, sorry."
},
{
"role": "user",
"content": "Fuyankang Tablets"
},
{
"role": "user",
"content": "I don't want to take medicine"
},
{
"role": "assistant",
"content": "Are there any abnormalities in the vaginal discharge? Such as increased discharge, thicker consistency, color change, foamy or curd-like appearance, or a fishy smell?"
},
{
"role": "user",
"content": "No"
},
{
"role": "assistant",
"content": "Do you have a sexual history? Are you currently in your menstrual period?"
},
{
"role": "assistant",
"content": "Occasionally itching, pain, and blood in the vagina. Is it fresh blood?"
},
{
"role": "user",
"content": "Yes, not in the menstrual period"
},
{
"role": "user",
"content": "It's pink blood, not much"
},
{
"role": "user",
"content": "Can I use Miconazole Nitrate?"
},
{
"role": "assistant",
"content": "Do you have symptoms such as frequent urination, urgent urination, painful urination, or a feeling of incomplete urination?"
},
{
"role": "user",
"content": "No"
},
{
"role": "assistant",
"content": "Do you have any history of medical examinations, drug use, drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? If not, please reply \"No.\""
},
{
"role": "user",
"content": "No"
},
{
"role": "assistant",
"content": "Generally, it's not recommended to use external medications during bleeding."
},
{
"role": "assistant",
"content": "It is suggested to take oral medication for treatment."
},
{
"role": "user",
"content": "Then what medicine do you recommend?"
},
{
"role": "assistant",
"content": "Don't insert medication."
},
{
"role": "assistant",
"content": "Can be applied topically."
},
{
"role": "assistant",
"content": "It can be applied topically."
},
{
"role": "user",
"content": "Okay"
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
6,379
|
Vaginitis
|
[
{
"role": "user",
"content": "I've had yellow-green cheesy discharge for the second day."
},
{
"role": "assistant",
"content": "Hello, I'm glad to be able to help you! Is there anything I can assist you with?"
},
{
"role": "user",
"content": "I've had this symptom for the second day."
},
{
"role": "assistant",
"content": "Do you have any itching or odor?"
},
{
"role": "user",
"content": "No."
},
{
"role": "user",
"content": "It's not itchy, not painful, and not smelly."
},
{
"role": "user",
"content": "But when I urinate, I can see a lot of this discharge when I use tissue paper."
},
{
"role": "user",
"content": "I've never had this before."
},
{
"role": "assistant",
"content": "Do you have a sexual history?"
},
{
"role": "user",
"content": "Yes."
},
{
"role": "assistant",
"content": "Are you currently taking any medication?"
},
{
"role": "user",
"content": "It started after sleeping with my boyfriend."
},
{
"role": "user",
"content": "On the first day, I used Femina wash."
},
{
"role": "assistant",
"content": "Did it improve after using the medication?"
},
{
"role": "user",
"content": "I can't tell, because it's not itchy or smelly."
},
{
"role": "user",
"content": "It's not painful, not itchy, and not smelly. The only thing is the discharge, and it's quite a lot. I only notice it when I use the restroom; there's just a little on my underwear in the morning."
},
{
"role": "user",
"content": "It's a lot right after I use the restroom."
},
{
"role": "assistant",
"content": "I'm looking at your symptom description, please wait a moment..."
},
{
"role": "user",
"content": "I can still see a lot when I wipe with tissue paper."
},
{
"role": "user",
"content": "Then I rinse with water and dry it."
},
{
"role": "assistant",
"content": "Do you have any history of medical examinations or medication use, any drug allergies, chronic diseases, or are you in a special period (pregnancy, breastfeeding, etc. Please note: males are exempt, mainly focus on allergy history and other conditions)?"
},
{
"role": "user",
"content": "None."
},
{
"role": "user",
"content": "Okay."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
1,323
|
Vaginitis
|
[
{
"role": "user",
"content": "Redness and swelling in the private area, a bit itchy, need to know what medication to use"
},
{
"role": "assistant",
"content": "Hello, there are currently many people consulting, please be patient."
},
{
"role": "assistant",
"content": "Hello, I'm very happy to be able to assist you! Is there anything I can help you with?"
},
{
"role": "user",
"content": "Hello, doctor."
},
{
"role": "assistant",
"content": "Is the vaginal discharge like tofu residue? Or watery vaginal discharge? Or purulent vaginal discharge?"
},
{
"role": "user",
"content": "No vaginal discharge, just a bit yellow."
},
{
"role": "assistant",
"content": "How long have the symptoms appeared?"
},
{
"role": "user",
"content": "It's been four or five days. It wasn't that serious at first, so I didn't pay much attention."
},
{
"role": "user",
"content": "I just checked, and there's some redness and swelling on the outside of the private area, plus a bit itchy."
},
{
"role": "user",
"content": "What medication should I take to get better?"
},
{
"role": "assistant",
"content": "Have you taken any medication?"
},
{
"role": "user",
"content": "I bought some Fuyanjie today and used it."
},
{
"role": "assistant",
"content": "Did you feel any relief after using the medication?"
},
{
"role": "user",
"content": "I can't feel much now."
},
{
"role": "assistant",
"content": "Do you have any history of medical check-ups, allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? (Note: males can ignore this, mainly check for any allergies and other diseases)"
},
{
"role": "user",
"content": "No."
},
{
"role": "assistant",
"content": "For your medication safety, purchasing prescription drugs requires further judgment from a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
11,063
|
Vaginitis
|
[
{
"role": "user",
"content": "Vagina is itchy and slightly swollen."
},
{
"role": "assistant",
"content": "Have you used any medication for your current symptoms? Could you please provide the names of the medicines to avoid recommending the same ones again?"
},
{
"role": "user",
"content": "It started after my period ended."
},
{
"role": "user",
"content": "I feel it might be due to not changing the sanitary pads frequently enough, causing dampness."
},
{
"role": "user",
"content": "I had similar symptoms before after my period, but they usually went away in about a week."
},
{
"role": "user",
"content": "I haven't used any medication."
},
{
"role": "user",
"content": "This time it has lasted longer, about two to three weeks."
},
{
"role": "user",
"content": "During a physical examination, I was found to have vaginitis, with a cleanliness level of three."
},
{
"role": "user",
"content": "I had a physical examination last month."
},
{
"role": "assistant",
"content": "Have you noticed any abnormal vaginal discharge, such as thick and curd-like, yellow-green foamy, or thin and grayish-white with a fishy odor?"
},
{
"role": "user",
"content": "No."
},
{
"role": "user",
"content": "There is more vaginal discharge, and it's shiny."
},
{
"role": "assistant",
"content": "Have you ever been medically examined or used any medication? Do you have any drug allergies, chronic diseases, or are you in a special period (such as pregnancy, breastfeeding, etc.)? If not, you can reply \"No.\""
},
{
"role": "user",
"content": "The vaginal discharge is more and yellow, I made a typo earlier."
},
{
"role": "assistant",
"content": "Okay."
},
{
"role": "user",
"content": "It's very itchy, and a bit painful, and the vaginal opening was slightly swollen right after my period ended."
},
{
"role": "user",
"content": "No."
},
{
"role": "user",
"content": "Can you recommend a medication?"
},
{
"role": "assistant",
"content": "Sure."
},
{
"role": "assistant",
"content": "For your safety, purchasing prescription medication requires further assessment by a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
26,362
|
Vaginitis
|
[
{
"role": "user",
"content": "For about 3 or 4 days, I haven't taken any medication. My vaginal discharge is a bit green."
},
{
"role": "assistant",
"content": "Is the discharge like tofu residue, watery, or purulent?"
},
{
"role": "user",
"content": "It's purulent, but there's very little of it."
},
{
"role": "user",
"content": "Just for two days, not much."
},
{
"role": "user",
"content": "And there's no odd smell."
},
{
"role": "assistant",
"content": "Do you have symptoms such as abdominal pain, itching of the vulva, a fishy smell, or a burning sensation?"
},
{
"role": "user",
"content": "I just feel a bit of abdominal bloating, and a slight itching at the urethral opening, but it's not severe."
},
{
"role": "user",
"content": "No burning or odd smell."
},
{
"role": "assistant",
"content": "Do you have symptoms such as frequent urination, urgency, pain during urination, or a sensation of incomplete urination?"
},
{
"role": "user",
"content": "I do urinate a bit more, but there's no burning sensation."
},
{
"role": "user",
"content": "The vulva is only slightly itchy."
},
{
"role": "assistant",
"content": "Do you have any history of medical examination and treatment, drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? If there are no such conditions, please reply with \"none.\""
},
{
"role": "user",
"content": "I haven't been to the doctor. No allergies."
},
{
"role": "user",
"content": "Thank you."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
34,261
|
Vaginitis
|
[
{
"role": "user",
"content": "Hello Doctor"
},
{
"role": "assistant",
"content": "What can I assist you with?"
},
{
"role": "user",
"content": "A few days ago, my husband came back from a trip, and after intercourse, I’ve been very itchy these past two days."
},
{
"role": "user",
"content": "I washed with Jier Yin yesterday, but it didn’t help."
},
{
"role": "user",
"content": "Today, I’m especially itchy while sleeping."
},
{
"role": "assistant",
"content": "Is there any abnormal vaginal discharge? Such as increased amount, viscosity, color change, foamy or tofu-like, or fishy odor?"
},
{
"role": "user",
"content": "I think I scratched it a bit and it hurts now. Can you prescribe something that works well?"
},
{
"role": "assistant",
"content": "Do you have any drug allergies, chronic conditions, or are you in a special period (pregnant, preparing for pregnancy, or breastfeeding)? If you are in the pregnancy preparation phase, we need to rule out the possibility of pregnancy."
},
{
"role": "user",
"content": "The past two days, my vaginal discharge has been very abundant and looks like tofu residue."
},
{
"role": "user",
"content": "There isn’t any smell."
},
{
"role": "assistant",
"content": "What color is the vaginal discharge?"
},
{
"role": "user",
"content": "No allergies to any drugs, and I’m not preparing for pregnancy."
},
{
"role": "user",
"content": "It’s slightly yellow."
},
{
"role": "user",
"content": "I’ve been itchy all day, but especially while sleeping."
},
{
"role": "user",
"content": "I couldn’t help it and rubbed my external genitalia a bit, and now it’s a bit broken and painful."
},
{
"role": "assistant",
"content": "Is there any discharge other than the white vaginal discharge?"
},
{
"role": "user",
"content": "No other symptoms besides the vaginal discharge."
},
{
"role": "user",
"content": "My husband and I are apart most of the time. I feel better when we’re not living together. Every time he comes back, after he leaves, I get itchy for a few days."
},
{
"role": "assistant",
"content": "Understood."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
17,660
|
Vaginitis
|
[
{
"role": "user",
"content": "A few days ago, my vagina itched, and I used some medicine and it got better. The last two times I had sex, it was painful, a bit swollen, and dry. These last two days, my vagina has been uncomfortable again."
},
{
"role": "assistant",
"content": "Hello, please describe the issue you would like to consult about."
},
{
"role": "user",
"content": "A few days ago, my vagina itched, and I used some medicine and it got better. The last two times I had sex, it was painful, a bit swollen, and dry. These last two days, my vagina has been uncomfortable again."
},
{
"role": "assistant",
"content": "Do you have any other discomfort symptoms?"
},
{
"role": "user",
"content": "I don't know what's been going on these last two days."
},
{
"role": "user",
"content": "Just uncomfortable."
},
{
"role": "assistant",
"content": "Is there any abnormality with your vaginal discharge? Such as an increase in volume, more viscous, changed color, foamy or curd-like, or a fishy odor?"
},
{
"role": "user",
"content": "It's not very itchy."
},
{
"role": "user",
"content": "A bit heavy, and there seems to be a bit of blood."
},
{
"role": "assistant",
"content": "It's possible that it might be your period."
},
{
"role": "assistant",
"content": "You can use a wash to relieve and improve the symptoms."
},
{
"role": "user",
"content": "I've been using Fuyanjie wash all along."
},
{
"role": "user",
"content": "I've also been using medication."
},
{
"role": "user",
"content": "But there's no wash at home."
},
{
"role": "assistant",
"content": "Has the medication not helped much?"
},
{
"role": "user",
"content": "It didn't help much."
},
{
"role": "user",
"content": "It wasn't very severe to begin with."
},
{
"role": "assistant",
"content": "You can try taking oral medication to improve the effect."
},
{
"role": "user",
"content": "What medicine should I use?"
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies?"
},
{
"role": "user",
"content": "I don't think so."
},
{
"role": "assistant",
"content": "Please wait a moment, I will recommend a medication based on your condition."
},
{
"role": "user",
"content": "Recommend a medicine for me."
},
{
"role": "user",
"content": "And a wash."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
37,874
|
Vaginitis
|
[
{
"role": "user",
"content": "Planning to conceive. Very itchy vaginal opening, itchy all day long, yellow fluid discharge, has a bloody smell, many small granules in the vaginal area, underwear turns yellow in just one day."
},
{
"role": "user",
"content": "About five days. No medical history, no medication use."
},
{
"role": "user",
"content": "My period hasn't come for almost two months."
},
{
"role": "assistant",
"content": "Hello, can we rule out pregnancy? During the preconception period, it's important to rule out pregnancy before using any medication."
},
{
"role": "user",
"content": "Not pregnant."
},
{
"role": "assistant",
"content": "Do you usually have any abnormal vaginal discharge? This includes increased volume, thick, discolored, foamy or cottage cheese-like, and fishy odor?"
},
{
"role": "user",
"content": "I never used to drink alcohol or stay up late every day. I've been in Sichuan for two months, and I've been drinking and staying up late every day. I wonder if this is the cause."
},
{
"role": "user",
"content": "Foamy or cottage cheese-like, but all other symptoms are present."
},
{
"role": "assistant",
"content": "That could be the case."
},
{
"role": "assistant",
"content": "What color is the vaginal discharge? Does it have an odor? Has the volume increased?"
},
{
"role": "user",
"content": "The vaginal discharge is yellow, has a bloody smell, and has increased."
},
{
"role": "assistant",
"content": "Do you have any history of medical examinations, medication use, drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding—men can ignore this)? If none of the above apply, you can reply \"None.\""
},
{
"role": "user",
"content": "None."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
29,607
|
Vaginitis
|
[
{
"role": "user",
"content": "I feel a bit itchy after using the drug."
},
{
"role": "user",
"content": "What should I eat?"
},
{
"role": "user",
"content": "There was a tiny bit of blood, about the size of a sesame seed, on the drug."
},
{
"role": "user",
"content": "Are you there?"
},
{
"role": "assistant",
"content": "Please wait a moment."
},
{
"role": "assistant",
"content": "How long have you been using the medication?"
},
{
"role": "user",
"content": "I noticed some blood after using the second one and stopped using it."
},
{
"role": "user",
"content": "Just a tiny bit, about the size of a sesame seed."
},
{
"role": "assistant",
"content": "I suggest stopping the medication for now."
},
{
"role": "user",
"content": "Okay, I have stopped."
},
{
"role": "user",
"content": "What should I eat?"
},
{
"role": "assistant",
"content": "What color is your vaginal discharge?"
},
{
"role": "user",
"content": "Is ofloxacin hydrochloride okay?"
},
{
"role": "assistant",
"content": "Is your vaginal discharge like tofu residue, watery, or purulent?"
},
{
"role": "user",
"content": "There’s some medication on the discharge, it looks like dandruff."
},
{
"role": "user",
"content": "Very little."
},
{
"role": "user",
"content": "I can’t really describe its consistency, but there’s some medication..."
},
{
"role": "user",
"content": "After using a wet wipe, it’s not itchy anymore. It’s a bit itchy when there’s dandruff-like residue."
},
{
"role": "assistant",
"content": "Have you been checked and prescribed medication before? Any history of drug allergies or chronic diseases? Are you in a special period (like pregnancy or breastfeeding)?"
},
{
"role": "user",
"content": "None."
},
{
"role": "user",
"content": "Why does the drug leave that kind of dandruff-like residue? Doctor, is it the medication or something else?"
},
{
"role": "assistant",
"content": "It might be the medication."
},
{
"role": "user",
"content": "Okay."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
6,744
|
Vaginitis
|
[
{
"role": "user",
"content": "Current main symptoms: Vaginitis"
},
{
"role": "user",
"content": "Can you recommend some medication?"
},
{
"role": "user",
"content": "I've been to the hospital before."
},
{
"role": "assistant",
"content": "What medications have you used for your current symptoms? Please provide the names of the medications to avoid recommending the same ones."
},
{
"role": "user",
"content": "I forgot."
},
{
"role": "user",
"content": "But regarding the symptoms,"
},
{
"role": "user",
"content": "There is some vaginal discharge, and it has a cottage cheese-like consistency."
},
{
"role": "assistant",
"content": "Got it."
},
{
"role": "assistant",
"content": "Do you have any history of medical examinations or medication use? Any drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? If none of these apply, you can reply with \"No.\""
},
{
"role": "user",
"content": "No"
},
{
"role": "assistant",
"content": "Have you taken any antibiotics before? (Antibiotic use history within the past year: such as amoxicillin, cephalosporin, levofloxacin, clindamycin, roxithromycin, metronidazole, etc.)"
},
{
"role": "user",
"content": "I took cephalosporin."
},
{
"role": "assistant",
"content": "Please wait a moment."
},
{
"role": "user",
"content": "I have a frequent urge to urinate. Could it be a urinary tract infection?"
},
{
"role": "user",
"content": "After urinating,"
},
{
"role": "user",
"content": "Can I take"
},
{
"role": "user",
"content": "Urinary Tract Infection Relief?"
},
{
"role": "assistant",
"content": "Yes, you can."
},
{
"role": "assistant",
"content": "Do you feel itchy?"
},
{
"role": "user",
"content": "Could you also recommend the ones listed above? Thank you."
},
{
"role": "assistant",
"content": "Do you feel itchy?"
},
{
"role": "user",
"content": "Not really, it's not bad. I have been washing with water every day for the past few months."
},
{
"role": "assistant",
"content": "Understood."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
39,314
|
Vaginitis
|
[
{
"role": "user",
"content": "I have a smelly light yellow and white discharge, and it happens every day."
},
{
"role": "assistant",
"content": "Hello, please describe the issue you need to consult about."
},
{
"role": "user",
"content": "Hello, I have a smelly vaginal discharge and the color is yellowish white. I get this every day. What should I use to treat it?"
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies?"
},
{
"role": "user",
"content": "No."
},
{
"role": "assistant",
"content": "Do you have a history of sexual activity?"
},
{
"role": "user",
"content": "I don't have any other symptoms."
},
{
"role": "user",
"content": "I have a partner, yes."
},
{
"role": "user",
"content": "I do smoke cigarettes."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
45,478
|
Vaginitis
|
[
{
"role": "user",
"content": "Intercourse with pain and an unusual odor"
},
{
"role": "assistant",
"content": "Okay."
},
{
"role": "assistant",
"content": "Is there any abnormal vaginal discharge? Such as increased volume, viscosity, color change, foamy or curd-like, fishy smell, etc.?"
},
{
"role": "user",
"content": "It seems to be quite thick."
},
{
"role": "assistant",
"content": "Okay."
},
{
"role": "assistant",
"content": "Do you have abdominal pain?"
},
{
"role": "user",
"content": "It was the second day after my period ended, and then I had intercourse, and there was a pain."
},
{
"role": "user",
"content": "No abdominal pain."
},
{
"role": "user",
"content": "Before my period, everything was fine. Gynecological checks were normal. After my period, during intercourse, I felt the pain."
},
{
"role": "assistant",
"content": "Okay. Do you have frequent urination, urgent urination, or painful urination?"
},
{
"role": "user",
"content": "No, I don't have that."
},
{
"role": "user",
"content": "Even when lying down and resting, there is still a pain."
},
{
"role": "assistant",
"content": "Okay."
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies, chronic diseases, or any special conditions (such as pregnancy, pregnancy planning, or breastfeeding)? If you are planning a pregnancy, we need to rule out the possibility of already being pregnant."
},
{
"role": "user",
"content": "Not planning a pregnancy."
},
{
"role": "assistant",
"content": "Any history of allergies?"
},
{
"role": "user",
"content": "No, I don't have that."
},
{
"role": "assistant",
"content": "You need to wait at least two hours before drinking alcohol, and the amount of alcohol should not be excessive, and should not reach a state of intoxication, as this can affect the effectiveness of the contraceptive pill."
},
{
"role": "assistant",
"content": "Okay."
},
{
"role": "assistant",
"content": "For your medication safety, purchasing prescription drugs requires further judgment by a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
44,023
|
Vaginitis
|
[
{
"role": "user",
"content": "Green cottage cheese-like discharge, an itchy and painful bump on the vulva"
},
{
"role": "assistant",
"content": "Is there any abnormal vaginal discharge? Including increased volume, viscosity, color change, foamy or cottage cheese-like, or foul odor?"
},
{
"role": "assistant",
"content": "What color is the vaginal discharge?"
},
{
"role": "user",
"content": "It has a bit of green inside."
},
{
"role": "assistant",
"content": "Is there any color change, odor, cottage cheese-like discharge, or itching?"
},
{
"role": "user",
"content": "Yes."
},
{
"role": "assistant",
"content": "How long has this been going on?"
},
{
"role": "user",
"content": "For a few days."
},
{
"role": "assistant",
"content": "Have you had any sexual activity?"
},
{
"role": "user",
"content": "Yes."
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies, chronic diseases, or special periods (such as pregnancy, trying to conceive, or lactation, if you are trying to conceive, we need to rule out pregnancy)?"
},
{
"role": "user",
"content": "I used Acyclovir ointment last night."
},
{
"role": "assistant",
"content": "Has the symptom improved after using the medication?"
},
{
"role": "user",
"content": "My partner also has some itching down there."
},
{
"role": "user",
"content": "Do we need to use any medication?"
},
{
"role": "user",
"content": "It has improved a bit."
},
{
"role": "assistant",
"content": "Is there any skin breakage?"
},
{
"role": "user",
"content": "What medications should I take or use in combination?"
},
{
"role": "user",
"content": "No, just small red spots."
},
{
"role": "user",
"content": "He said he is a bit itchy."
},
{
"role": "user",
"content": "What should men use?"
},
{
"role": "user",
"content": "I just took Fuyan Kang tablets and Metronidazole."
},
{
"role": "assistant",
"content": "For your safety, prescription drugs need further evaluation by a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
14,707
|
Vaginitis
|
[
{
"role": "user",
"content": "Current main symptom: Vaginitis"
},
{
"role": "assistant",
"content": ""
},
{
"role": "user",
"content": "About 4 to 5 days, haven't gone to the hospital yet. I had vaginitis before, it might have recurred. I am experiencing itching, but no abnormalities in the vaginal discharge, just a bit of blood."
},
{
"role": "assistant",
"content": "Is there any abnormality in the vaginal discharge? For example, increased amount, thicker or changed color, foamy or curd-like, or fishy odor?"
},
{
"role": "assistant",
"content": "Okay."
},
{
"role": "assistant",
"content": "Are there any other symptoms?"
},
{
"role": "user",
"content": "No smell or color, but it feels a bit moist and watery. I had eczema before, not sure if it's still there."
},
{
"role": "user",
"content": "There seem to be some small bumps."
},
{
"role": "assistant",
"content": "The presence of small bumps needs to be assessed by a medical professional for the underlying cause."
},
{
"role": "user",
"content": "Can I get some antibiotics today?"
},
{
"role": "assistant",
"content": "Do you have any history of medical examinations, medication use, drug allergies, chronic diseases, or are you in a special period (e.g., pregnancy or breastfeeding)? If none of the above apply, please reply \"No.\""
},
{
"role": "user",
"content": "My body hasn't been feeling well lately, possibly due to low immunity."
},
{
"role": "user",
"content": "No."
},
{
"role": "assistant",
"content": "For your safety, purchasing prescription medication requires a further assessment by a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
42,672
|
Vaginitis
|
[
{
"role": "user",
"content": "Hello"
},
{
"role": "assistant",
"content": "Due to the limitations of distance and equipment, if your period is 7-14 days late, it is recommended to use a pregnancy test or go to the hospital for confirmation."
},
{
"role": "assistant",
"content": "Is there any abnormal vaginal discharge? For example, increased amount, thickness, color change, foamy or curd-like, fishy odor, etc.?"
},
{
"role": "user",
"content": "Vaginal discharge is yellow-green, with curd-like consistency a few days ago. I used a cleaning solution to sit in a bath at home, but it didn't work last night, and it started itching again this morning."
},
{
"role": "user",
"content": "The curd-like discharge is gone."
},
{
"role": "user",
"content": "But the color of the vaginal discharge is still off."
},
{
"role": "assistant",
"content": "Have you had any sexual activity?"
},
{
"role": "user",
"content": "Is there anything I can use during work hours?"
},
{
"role": "user",
"content": "Yes, after my period ended."
},
{
"role": "assistant",
"content": "It would be better to take oral medication."
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies, chronic diseases, or are you in a special period (such as pregnancy, family planning, or breastfeeding)?"
},
{
"role": "user",
"content": "No."
},
{
"role": "user",
"content": "The external genitalia are very itchy, almost to the point of feeling warm."
},
{
"role": "assistant",
"content": "Understood. Have you had any sexual activity?"
},
{
"role": "user",
"content": "Yes."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
15,047
|
Vaginitis
|
[
{
"role": "user",
"content": "Vulvar itching, lower back pain"
},
{
"role": "user",
"content": "It's been a few days"
},
{
"role": "assistant",
"content": "Have you used any medication?"
},
{
"role": "assistant",
"content": "Is there any abnormal vaginal discharge? Such as increased amount, sticky, changed color, foamy or cottage cheese-like, fishy odor, etc.?"
},
{
"role": "user",
"content": "I just started my period"
},
{
"role": "user",
"content": "I'm using Jieryin wash"
},
{
"role": "assistant",
"content": "Any other symptoms?"
},
{
"role": "user",
"content": "Just itching, and the discharge is cottage cheese-like"
},
{
"role": "assistant",
"content": "What day of your period is it today?"
},
{
"role": "user",
"content": "I can see it clearly when I wash"
},
{
"role": "user",
"content": "There was a little spot of red today"
},
{
"role": "assistant",
"content": "Understood"
},
{
"role": "assistant",
"content": "Any history of drug allergies, chronic diseases, or are you in a special period (pregnant, preparing for pregnancy, breastfeeding, etc.)?"
},
{
"role": "user",
"content": "No"
},
{
"role": "user",
"content": "Isn't it that many medications can't be used during menstruation?"
},
{
"role": "user",
"content": "Can I use Jieryin wash during menstruation?"
},
{
"role": "assistant",
"content": "It can only be used for external washing, not for vaginal douching."
},
{
"role": "user",
"content": "What should I do if I used it today?"
},
{
"role": "user",
"content": "Will there be any harm?"
},
{
"role": "user",
"content": "What should I do if I don't use it?"
},
{
"role": "assistant",
"content": "Avoid douching in the future. Using it during menstruation can easily cause inflammation or infection. If there's a little bleeding now, just observe for the time being."
},
{
"role": "assistant",
"content": "For your medication safety, you need a doctor's further evaluation to purchase prescription drugs. I hope you can understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
1,166
|
Vaginitis
|
[
{
"role": "assistant",
"content": "Hello, there are currently many people consulting, please wait patiently. How long have you had the symptoms? Have you visited a doctor? Have you taken any medication?"
},
{
"role": "user",
"content": "Itchy and dry pain in the vulva, pseudowarts"
},
{
"role": "user",
"content": "It just started today."
},
{
"role": "user",
"content": "I had pseudowarts before, along with bacterial vaginosis at that time."
},
{
"role": "assistant",
"content": "Is the vaginal discharge like tofu residue, watery, or pus-like?"
},
{
"role": "user",
"content": "Watery"
},
{
"role": "user",
"content": "A little yellow"
},
{
"role": "assistant",
"content": "Is there any odor?"
},
{
"role": "user",
"content": "A little smell, but not as strong as the first time."
},
{
"role": "assistant",
"content": "Is the pseudowart recurring now?"
},
{
"role": "user",
"content": "Yes"
},
{
"role": "user",
"content": "There are many at the vaginal opening."
},
{
"role": "assistant",
"content": "Is the dry pain currently in the vulva?"
},
{
"role": "user",
"content": "Yes"
},
{
"role": "user",
"content": "It also itches"
},
{
"role": "user",
"content": "At the vaginal opening."
},
{
"role": "assistant",
"content": "Are you currently taking any medication?"
},
{
"role": "user",
"content": "Not yet."
},
{
"role": "user",
"content": "I just bought BaoFukang and Metronidazole Chlorhexidine for rinsing."
},
{
"role": "assistant",
"content": "Do you have any history of medical examinations and medication use? Do you have any drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? If not, you can reply \"None.\""
},
{
"role": "user",
"content": "None"
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
30,811
|
Vaginitis
|
[
{
"role": "user",
"content": "Hello"
},
{
"role": "assistant",
"content": "Can you describe your symptoms in more detail?"
},
{
"role": "user",
"content": "My vagina is a bit itchy, and it has been three days. Today, I found this when I went to the bathroom."
},
{
"role": "user",
"content": "I wiped out a piece of this."
},
{
"role": "assistant",
"content": "Is there any odor?"
},
{
"role": "user",
"content": "I haven't used any medication."
},
{
"role": "user",
"content": "A little bit."
},
{
"role": "assistant",
"content": "Is there any abnormal discharge? Such as increased volume, thick, discolored, foamy, or cottage cheese-like, or with a fishy smell?"
},
{
"role": "user",
"content": "The discharge is more because it is my ovulation period."
},
{
"role": "assistant",
"content": "Is the itching severe or mild?"
},
{
"role": "user",
"content": "Is this considered cottage cheese-like? It looks like a flat piece when unfolded."
},
{
"role": "user",
"content": "It's mild and doesn't affect my daily life."
},
{
"role": "user",
"content": "I don't constantly scratch it."
},
{
"role": "assistant",
"content": "It’s not cottage cheese-like."
},
{
"role": "user",
"content": "What's the situation then?"
},
{
"role": "user",
"content": "Is it vaginitis?"
},
{
"role": "assistant",
"content": "It seems like there is a bit of vaginitis."
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies, chronic diseases, or are you in a special period (pregnancy, preparing for pregnancy, breastfeeding, etc.)? If you are preparing for pregnancy, you need to rule out whether you are already pregnant. If you are male, ignore the pregnancy and breastfeeding periods. If you are a child, ignore the special period. If none of these apply, answer “No.”"
},
{
"role": "user",
"content": "No"
},
{
"role": "user",
"content": "Is it a fungal infection?"
},
{
"role": "assistant",
"content": "It seems like a mild yeast infection."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
33,479
|
Vaginitis
|
[
{
"role": "user",
"content": "It has been about a week, and my external genitalia have been very itchy."
},
{
"role": "assistant",
"content": "Is there any abnormal vaginal discharge? Such as increased volume, thicker consistency, color change, foamy or cottage cheese-like, or fishy odor?"
},
{
"role": "user",
"content": "Sometimes the discharge is more, and when I shower, I see yellow stains on my underwear. Sometimes the vaginal discharge is yellow-green and thick, but not cottage cheese-like, and there doesn't seem to be a fishy odor."
},
{
"role": "assistant",
"content": "Okay, do you have a history of sexual activity?"
},
{
"role": "user",
"content": "Yes, the last time was about a month ago."
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies, chronic diseases, or are you in a special period (such as pregnancy, pregnancy planning, breastfeeding, etc.)? If you are planning to conceive, you need to rule out the possibility of already being pregnant."
},
{
"role": "user",
"content": "No."
},
{
"role": "assistant",
"content": "Based on the symptoms you described, you can use the medications in the link above. They are all suitable for your symptoms. Please refer to them for reference."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
10,341
|
Vaginitis
|
[
{
"role": "user",
"content": "Gynecological Inflammation, Itching"
},
{
"role": "assistant",
"content": "Hello, how can I assist you?"
},
{
"role": "user",
"content": "Using Gynecological Cleansing Wash"
},
{
"role": "user",
"content": "Do you have this?"
},
{
"role": "assistant",
"content": "Do you need Canesten?"
},
{
"role": "user",
"content": "I don't know what you have here, can you recommend something?"
},
{
"role": "user",
"content": "It can be delivered tomorrow morning. My child will soon be taking the high school entrance exam, and I don't have time to go for a follow-up visit. I'll use it first."
},
{
"role": "assistant",
"content": "Is there any abnormal vaginal discharge? Including increased amount, thick, changed color, foamy or curd-like, and foul smell?"
},
{
"role": "user",
"content": "Not really, just itching. It doesn't happen in winter, only in spring."
},
{
"role": "assistant",
"content": "What is the current condition of your vaginal discharge?"
},
{
"role": "user",
"content": "It is clear and normal around the menstrual period. When I use the cleansing wash, it looks curd-like."
},
{
"role": "assistant",
"content": "Okay."
},
{
"role": "assistant",
"content": "Have you had any medical examinations or medication history? Any drug allergies, chronic diseases, or are you in any special period (pregnant, breastfeeding, etc. Note: males skip this, mainly check for allergies and other diseases)?"
},
{
"role": "user",
"content": "None"
},
{
"role": "user",
"content": "Okay, thank you."
},
{
"role": "assistant",
"content": "For your medication safety, purchasing prescription drugs requires further judgment from a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
23,939
|
Vaginitis
|
[
{
"role": "user",
"content": "My urine white blood cell count was high during my physical examination. Can I take any medication to reduce it? Recently, I also have frequent urination and urgency, and my external genitalia are a bit itchy."
},
{
"role": "assistant",
"content": "Hello, how can I assist you?"
},
{
"role": "assistant",
"content": "I apologize, but I am a pharmacist and can only provide guidance on medication use. I cannot precisely analyze your report. I recommend consulting a specialist for a detailed analysis. Please understand."
},
{
"role": "user",
"content": "Hello, my urine white blood cell count was high during my physical examination. Can I take any medication to reduce it? Recently, I also have frequent urination and urgency, and my external genitalia are a bit itchy."
},
{
"role": "assistant",
"content": "Do you have symptoms such as pain during urination or a feeling of incomplete urination?"
},
{
"role": "user",
"content": "No."
},
{
"role": "assistant",
"content": "How long have these symptoms been present? Have you used any medication?"
},
{
"role": "user",
"content": "It has been going on for a while. I haven’t used any medication. I don’t take very good care of my hygiene, I don’t change my underwear frequently, and sometimes there are a lot of white spots, which are green."
},
{
"role": "user",
"content": "But it gets much better when I change my underwear more often."
},
{
"role": "assistant",
"content": "Understood."
},
{
"role": "assistant",
"content": "Do you have any history of medical check-ups, medication use, or drug allergies? Do you have any chronic diseases? Are you in any special periods (such as pregnancy or breastfeeding—this is not applicable for males)? If none of these apply, please reply \"None.\""
},
{
"role": "user",
"content": "None."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
38,650
|
Vaginitis
|
[
{
"role": "user",
"content": "I used the medicine once that the hospital prescribed. The inserted medicine didn’t go in easily, some part got stuck outside. The next day, the inserted medicine came out as a ball. I didn’t dare to use the medicine at night, and a lot of blood flowed out. This morning, I put in one pill, and I found that it was still bleeding."
},
{
"role": "user",
"content": "Cefalexin, I had some yesterday."
},
{
"role": "assistant",
"content": "What medicine is it?"
},
{
"role": "user",
"content": "My period usually starts on the 22nd. Is it my period? But the blood is bright red, which doesn’t seem right."
},
{
"role": "assistant",
"content": "It’s not ruled out."
},
{
"role": "assistant",
"content": "Your period is coming up."
},
{
"role": "assistant",
"content": "So it’s not ruled out that it could be your period."
},
{
"role": "user",
"content": "Shouldn’t I use medicine during my period then?"
},
{
"role": "user",
"content": "Can I take oral medicine, doctor?"
},
{
"role": "assistant",
"content": "Vaginal medication should not be used during your period."
},
{
"role": "assistant",
"content": "Oral medication is fine."
},
{
"role": "user",
"content": "Could you prescribe me some oral medicine?"
},
{
"role": "assistant",
"content": "Do you have any drug allergies? Have you had any alcohol (please ignore if you are a child)?"
},
{
"role": "user",
"content": "There are oral medicines. Why did the hospital prescribe me only insertable medicine?"
},
{
"role": "user",
"content": "I am allergic to Cefalexin."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
23,431
|
Vaginitis
|
[
{
"role": "user",
"content": "Increased vaginal discharge, yellowish in color."
},
{
"role": "assistant",
"content": "Hello, please describe the issue you need consultation for."
},
{
"role": "user",
"content": "Hello, I want to ask about Nifuratel. I understand it can be used externally and orally. What are the differences?"
},
{
"role": "assistant",
"content": "Generally, topical use is more effective."
},
{
"role": "user",
"content": "How long does it take to use the suppository form of this medication?"
},
{
"role": "assistant",
"content": "One week per course."
},
{
"role": "user",
"content": "I have previously gone to the hospital for a vaginal discharge test. It showed increased white blood cells and a vaginal cleanliness level of three. I have used Bofukang suppositories, lactic acid bacteria, and Metronidazole suppositories, but none of them worked well."
},
{
"role": "user",
"content": "Would this be effective?"
},
{
"role": "user",
"content": "I don't have any fungal, trichomoniasis, mycoplasma, or chlamydia infections."
},
{
"role": "assistant",
"content": "What is the color and consistency of your current vaginal discharge?"
},
{
"role": "user",
"content": "It is yellowish."
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies?"
},
{
"role": "assistant",
"content": "Do you have a history of sexual activity?"
},
{
"role": "user",
"content": "I occasionally have sexual activity and no history of drug allergies."
},
{
"role": "user",
"content": "This symptom has been ongoing for quite a while, and I had it even before I became sexually active."
},
{
"role": "user",
"content": "Is it normal for vaginal discharge not to occur every day?"
},
{
"role": "assistant",
"content": "You can use the following medication (please wait, I will send you the link)."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
32,487
|
Vaginitis
|
[
{
"role": "user",
"content": "In the last two days, after intimacy, my girlfriend has experienced some itching from time to time."
},
{
"role": "user",
"content": "What medicine should we use?"
},
{
"role": "assistant",
"content": "Is there any abnormality in the vaginal discharge, such as increased amount, viscosity, color change, foamy or cottage cheese-like appearance, or a fishy odor?"
},
{
"role": "user",
"content": "No."
},
{
"role": "assistant",
"content": "Have you had sexual intercourse before?"
},
{
"role": "user",
"content": "Just three times."
},
{
"role": "user",
"content": "This week, three times."
},
{
"role": "assistant",
"content": "Do you have any history of medical examinations, medication use, drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? Note: Males can ignore the pregnancy and breastfeeding parts, but please indicate any allergies or other conditions."
},
{
"role": "user",
"content": "No."
},
{
"role": "assistant",
"content": "Based on the symptoms you have described, you can use the medicine linked above. They are all suitable for your symptoms. Please refer to them."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
33,123
|
Vaginitis
|
[
{
"role": "user",
"content": "Lower abdominal pain"
},
{
"role": "assistant",
"content": "How long have you had the symptoms?"
},
{
"role": "assistant",
"content": "Did they start suddenly or is there a specific cause?"
},
{
"role": "user",
"content": "The symptoms have been present for three to four days."
},
{
"role": "assistant",
"content": "Have you noticed any abnormalities with your vaginal discharge? Such as increased volume, thickness, color changes, foamy or cottage cheese-like appearance, or a fishy odor?"
},
{
"role": "user",
"content": "I suspect it's due to a tooth infection."
},
{
"role": "user",
"content": "There is an excessive amount of discharge."
},
{
"role": "user",
"content": "It's like snot."
},
{
"role": "assistant",
"content": "A tooth infection generally does not cause lower abdominal pain."
},
{
"role": "assistant",
"content": "Have you experienced diarrhea?"
},
{
"role": "user",
"content": "No diarrhea."
},
{
"role": "assistant",
"content": "Have you had sexual activity before?"
},
{
"role": "user",
"content": "Is it because of eating too spicy food? Is my diet not nutritious?"
},
{
"role": "user",
"content": "Yes."
},
{
"role": "assistant",
"content": "Lower abdominal pain and abnormal vaginal discharge, such as increased secretion, are often indicative of pelvic inflammatory disease."
},
{
"role": "assistant",
"content": "Are there any other symptoms?"
},
{
"role": "user",
"content": "No."
},
{
"role": "assistant",
"content": "Do you have any drug allergies, chronic diseases, or are you in a special period (such as pregnancy, preparing for pregnancy, or breastfeeding)?"
},
{
"role": "user",
"content": "No."
},
{
"role": "user",
"content": "I had a gum infection and took metronidazole; it relieved the pain."
},
{
"role": "assistant",
"content": "Okay."
},
{
"role": "assistant",
"content": "For your medication safety, purchasing prescription drugs requires further judgment by a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
1,261
|
Vaginitis
|
[
{
"role": "user",
"content": "Brown discharge has been present for about four days. My period is supposed to be coming soon, but it hasn't arrived yet."
},
{
"role": "assistant",
"content": "Hello, there are currently many people consulting online, please be patient."
},
{
"role": "assistant",
"content": "Is there any abnormal vaginal discharge? For example, increased amount, thicker, changed color, foamy or curd-like, or fishy odor?"
},
{
"role": "user",
"content": "Brown discharge."
},
{
"role": "assistant",
"content": "Do you have a history of sexual activity? Are you currently in your period?"
},
{
"role": "user",
"content": "I have a history of sexual activity. My period is supposed to be coming soon, but it hasn't arrived yet."
},
{
"role": "user",
"content": "Is it inflammation?"
},
{
"role": "assistant",
"content": "Can we rule out pregnancy?"
},
{
"role": "user",
"content": "We can rule out pregnancy, I am not pregnant."
},
{
"role": "assistant",
"content": "It does seem like inflammation."
},
{
"role": "assistant",
"content": "Do you have a history of medical examinations or medication use? Any history of drug allergies or chronic diseases? Are you in a special period (such as pregnancy or breastfeeding)?"
},
{
"role": "user",
"content": "None."
},
{
"role": "user",
"content": "How should I use medication, or should I go to the hospital for a check-up?"
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
29,425
|
Vaginitis
|
[
{
"role": "user",
"content": "Vaginal burning sensation, yellow vaginal discharge, accompanied by large amounts of curd-like discharge"
},
{
"role": "assistant",
"content": "Hello, is there anything else I can assist you with? Please let me know so I can provide specific answers."
},
{
"role": "user",
"content": "Vaginal burning sensation, yellow vaginal discharge, accompanied by large amounts of curd-like discharge."
},
{
"role": "assistant",
"content": "Have you ever had sexual intercourse? This is mainly to determine if vaginal medication can be used, with no other implications."
},
{
"role": "user",
"content": "I am married."
},
{
"role": "user",
"content": "Can you recommend a type of vaginal suppository?"
},
{
"role": "assistant",
"content": "To avoid duplicate medication, have you used any drugs for treatment? If so, please provide the specific names of the medications."
},
{
"role": "user",
"content": "I haven't used any yet."
},
{
"role": "assistant",
"content": "Do you have any history of medical visits, drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? Men can ignore this. If none of these apply, please reply \"None.\""
},
{
"role": "user",
"content": "I want to know what kind of condition this is."
},
{
"role": "user",
"content": "None."
},
{
"role": "assistant",
"content": "It is likely to be vaginitis."
},
{
"role": "user",
"content": "What medication should I use?"
},
{
"role": "user",
"content": "Okay."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
15,347
|
Vaginitis
|
[
{
"role": "user",
"content": "Itching and pain after urination in the vagina"
},
{
"role": "user",
"content": "There is some vulvar itching, frequent urination, and pain during urination"
},
{
"role": "assistant",
"content": "Hello"
},
{
"role": "assistant",
"content": "Have you used any medication for the current symptoms? How long have you been using it? Has the medication helped to relieve the symptoms?"
},
{
"role": "user",
"content": "No, I haven't used any."
},
{
"role": "user",
"content": "At the beginning, it was very painful after urination, but now it's not painful, just a little itchy."
},
{
"role": "user",
"content": "It has been about a week."
},
{
"role": "assistant",
"content": "Okay"
},
{
"role": "assistant",
"content": "Do you have symptoms such as frequent urination, incomplete urination, or purulent discharge?"
},
{
"role": "user",
"content": "I had frequent urination and incomplete urination at the beginning."
},
{
"role": "assistant",
"content": "What color is your vaginal discharge? Does it have an odor or has it increased? {Is the discharge yellow, thicker, or like cottage cheese?} Do you have a history of sexual activity?"
},
{
"role": "user",
"content": "I just had my period for a week."
},
{
"role": "assistant",
"content": "Okay"
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies, chronic diseases, or are you in a special period (pregnant, trying to conceive, breastfeeding, etc.)? It’s important to rule out pregnancy if you are trying to conceive."
},
{
"role": "user",
"content": "No"
},
{
"role": "user",
"content": "After my period, I still feel a little itchy, and a bit uncomfortable after urination."
},
{
"role": "assistant",
"content": "Alright, please wait a moment."
},
{
"role": "user",
"content": "It's hard to describe."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
31,801
|
Vaginitis
|
[
{
"role": "user",
"content": "Itching in the lower body, abnormal vaginal discharge, and foul odor"
},
{
"role": "user",
"content": "About one week"
},
{
"role": "assistant",
"content": "Is there any abnormal vaginal discharge? Such as an increase in secretion volume, stickiness, change in color, foamy or tofu-like, and a fishy smell?"
},
{
"role": "user",
"content": "After intercourse"
},
{
"role": "user",
"content": "Foul odor, increased vaginal discharge"
},
{
"role": "user",
"content": "Thick, foul odor, yellowish-white"
},
{
"role": "user",
"content": "What medicine should I use?"
},
{
"role": "assistant",
"content": "To avoid repeated use of medication, have you used any medication before? If so, please tell me the specific drug name."
},
{
"role": "user",
"content": "I used this one"
},
{
"role": "user",
"content": "And another one that goes inside, but I can't remember what it was"
},
{
"role": "assistant",
"content": "How did the medication you used improve the situation?"
},
{
"role": "user",
"content": "It didn’t seem to help much"
},
{
"role": "user",
"content": "It kept recurring, got better after use, but then came back"
},
{
"role": "assistant",
"content": "Have you had any medical check-ups or a history of taking medication? Any drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? If not, you can reply “No.”"
},
{
"role": "user",
"content": "No"
},
{
"role": "user",
"content": "What medicine should I use?"
},
{
"role": "user",
"content": "?"
},
{
"role": "user",
"content": "👌"
},
{
"role": "user",
"content": "Send it to me when you find it, and I will place the order directly."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
18,353
|
Vaginitis
|
[
{
"role": "user",
"content": "White discharge like tofu residue"
},
{
"role": "user",
"content": "Today"
},
{
"role": "assistant",
"content": "Okay"
},
{
"role": "assistant",
"content": "Have you had sexual intercourse before?"
},
{
"role": "assistant",
"content": "Are there any other symptoms?"
},
{
"role": "user",
"content": "Yes"
},
{
"role": "user",
"content": "A little itchy"
},
{
"role": "user",
"content": "A little itchy, used a vaginal tablet"
},
{
"role": "user",
"content": "Then today it was like tofu residue"
},
{
"role": "assistant",
"content": "Okay"
},
{
"role": "assistant",
"content": "A little itchy, used a vaginal tablet, what is the full name of it?"
},
{
"role": "assistant",
"content": "Have you had any medical check-ups or medication history? Do you have any drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? If none of the above apply, you can reply \"No\""
},
{
"role": "user",
"content": "It should be Clotrimazole"
},
{
"role": "user",
"content": "One tablet every seven days"
},
{
"role": "assistant",
"content": "Okay"
},
{
"role": "user",
"content": "Clotrimazole vaginal tablet"
},
{
"role": "user",
"content": "It was itchy for one day, then I used the medicine yesterday, and took one anti-inflammatory pill"
},
{
"role": "user",
"content": "Today it's not very itchy, but there's a lot of tofu residue, no odor"
},
{
"role": "assistant",
"content": "I am looking for the right medication, it will take about 1-2 minutes. The Ele.me platform strictly verifies all merchants, ensuring they have received certification and approval from regulatory authorities, guaranteeing your medication is safe and reliable!"
},
{
"role": "user",
"content": "Should I buy a cleaning solution?"
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
21,732
|
Vaginitis
|
[
{
"role": "user",
"content": "For about half a month, I've had external genital itching, increased vaginal discharge in recent days, and vaginal discharge like tofu residue started yesterday."
},
{
"role": "assistant",
"content": "Hello"
},
{
"role": "user",
"content": "Hi, for about half a month. External genital itching, increased vaginal discharge in recent days, and vaginal discharge like tofu residue started yesterday."
},
{
"role": "assistant",
"content": "OK"
},
{
"role": "user",
"content": "A bit of pain when urinating today"
},
{
"role": "assistant",
"content": "Have you had sexual activity?"
},
{
"role": "assistant",
"content": "Have you used any medication during this period?"
},
{
"role": "assistant",
"content": "Do you have frequent urination or urgency?"
},
{
"role": "user",
"content": "Married, no medication recently"
},
{
"role": "assistant",
"content": "OK"
},
{
"role": "assistant",
"content": "Do you have any medical history of examinations and medications, any drug allergy history, chronic diseases, or are you in a special period (pregnancy, breastfeeding, etc. Note: Male patients can ignore this)? If none of the above apply, you can reply \"No\""
},
{
"role": "user",
"content": "Drinking more water leads to more trips to the bathroom"
},
{
"role": "assistant",
"content": "It seems to be candida vaginitis."
},
{
"role": "user",
"content": "No"
},
{
"role": "assistant",
"content": "A bit of pain when urinating today, is there any redness or swelling of the external genitalia?"
},
{
"role": "user",
"content": "Haven't looked, but there might be a bit"
},
{
"role": "user",
"content": "Is staying up late a factor?"
},
{
"role": "assistant",
"content": "Yes, it can be."
},
{
"role": "assistant",
"content": "I am looking for suitable medication, it will take about 1-2 minutes. The Ele.me platform strictly verifies all merchants, obtaining certification and permission from regulatory authorities, ensuring you can use the medication with confidence!"
},
{
"role": "user",
"content": "OK"
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
27,446
|
Vaginitis
|
[
{
"role": "user",
"content": "Abnormal vaginal discharge"
},
{
"role": "assistant",
"content": "Is there any abnormality in vaginal discharge? For example, has the amount increased or is it foamy or like bean curd residue?"
},
{
"role": "user",
"content": "The vaginal discharge was yellow-green before, with an odor. After using Metronidazole for seven days, it improved and became normal. However, after sexual intercourse three days later, the vulva started to itch and the vaginal discharge became yellow-green again, increased, and had a bean curd residue-like appearance. Today, I noticed some granular objects on the vulva."
},
{
"role": "assistant",
"content": "Have you ever had sexual intercourse?"
},
{
"role": "user",
"content": "Yes, I have."
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies, chronic diseases, or are you in a special period (pregnant, preparing for pregnancy, breastfeeding, etc.)? If you are preparing for pregnancy, you need to rule out the possibility of already being pregnant."
},
{
"role": "user",
"content": "No."
},
{
"role": "user",
"content": "In the past few days, I have had a low-grade fever and dizziness. Today, I got medication for respiratory infection. I'm not sure if it has anything to do with the vulva inflammation."
},
{
"role": "assistant",
"content": "It might be related. Your immune resistance may have decreased."
},
{
"role": "assistant",
"content": "Do you have any other symptoms or discomfort? If not, I can recommend medication based on your condition."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
48,264
|
Vaginitis
|
[
{
"role": "user",
"content": "Vaginal itching"
},
{
"role": "user",
"content": "It's been two days, no sexual activity."
},
{
"role": "user",
"content": "There was a discharge like tofu residue."
},
{
"role": "user",
"content": "What medicine can I take, doctor?"
},
{
"role": "user",
"content": "It itches."
},
{
"role": "user",
"content": "Hello."
},
{
"role": "assistant",
"content": "Apologies for the delay in my response; there are many consultations. I hope for your understanding."
},
{
"role": "assistant",
"content": "What color is the discharge? Is there any odor? Has it increased?"
},
{
"role": "user",
"content": "I haven't taken any medication."
},
{
"role": "user",
"content": "There was a sudden discharge, just two days."
},
{
"role": "user",
"content": "It seems there is also a little bleeding."
},
{
"role": "user",
"content": "I haven't had sexual activity for a long time, doctor."
},
{
"role": "user",
"content": "What medicine can I take for this?"
},
{
"role": "user",
"content": "A few days ago, I went to KTV with friends and felt itchy afterward."
},
{
"role": "assistant",
"content": "I understand. Do you have any other discomfort?"
},
{
"role": "user",
"content": "My body is also itchy. I have seborrheic dermatitis of the scalp and have taken B2."
},
{
"role": "user",
"content": "I also took Cefalexin."
},
{
"role": "assistant",
"content": "Understood."
},
{
"role": "assistant",
"content": "Do you have any history of medical examinations and medication use? Any history of drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding, for males: ignore)? If none of the above, please reply \"none.\""
},
{
"role": "user",
"content": "None."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
6,656
|
Vaginitis
|
[
{
"role": "user",
"content": "Excessive vaginal discharge, itching"
},
{
"role": "assistant",
"content": "Is the vaginal discharge discolored, smelly, or like tofu residue?"
},
{
"role": "user",
"content": "It's a bit light yellow."
},
{
"role": "user",
"content": "It has a bit of a smell."
},
{
"role": "assistant",
"content": "How long have these symptoms been present? Have you used any medication?"
},
{
"role": "user",
"content": "It's been about a week, I applied some medicine to the vulva."
},
{
"role": "user",
"content": "My underwear is damp, and the vulva itches."
},
{
"role": "assistant",
"content": "Could you please specify the name of the medication you used?"
},
{
"role": "assistant",
"content": "Hello, are you still there?"
},
{
"role": "user",
"content": "Clotrimazole cream"
},
{
"role": "user",
"content": "I'm still online."
},
{
"role": "assistant",
"content": "Has the symptom improved after using the medication?"
},
{
"role": "user",
"content": "It only relieved the itching of the vulva when applied externally. The excessive discharge has not improved."
},
{
"role": "user",
"content": "The excessive discharge, dampness, and itching of the vulva continue."
},
{
"role": "user",
"content": "The only way is to reduce the discharge and return to normal."
},
{
"role": "assistant",
"content": "Okay, please wait a moment."
},
{
"role": "assistant",
"content": "Do you have any medical history of seeing a doctor and taking medication, any history of drug allergies, chronic diseases, or are you in a special period (pregnant or breastfeeding)? (Note: Ignore for males, mainly check for allergy history and other diseases.)"
},
{
"role": "user",
"content": "No"
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
33,296
|
Vaginitis
|
[
{
"role": "user",
"content": "External genitalia itching"
},
{
"role": "user",
"content": "About three or four days"
},
{
"role": "assistant",
"content": "Do you have any history of medical examination, medication, drug allergies, chronic diseases, or are you in a special period (pregnant, breastfeeding, etc. - this does not apply to males)? If none of the above apply, you can reply \"None\""
},
{
"role": "user",
"content": "I had a similar situation before, diagnosed with weakened immunity, fungal vaginitis, and external genitalia itching"
},
{
"role": "assistant",
"content": "Do you have any spare medication at home? If so, show it to me to see if it is suitable to avoid wasting medicine."
},
{
"role": "user",
"content": "No allergies"
},
{
"role": "user",
"content": "I have Jieeryin wash"
},
{
"role": "assistant",
"content": "Did the symptoms improve after using the medication?"
},
{
"role": "user",
"content": "Only used the wash once because I was busy with work"
},
{
"role": "user",
"content": "The gel worked, it relieved the symptoms a bit"
},
{
"role": "assistant",
"content": "Does it need to be repurchased if it has expired?"
},
{
"role": "user",
"content": "It seems like there is a rash on the external genitalia"
},
{
"role": "user",
"content": "The skin is a bit harder, not sure"
},
{
"role": "user",
"content": "Yes"
},
{
"role": "user",
"content": "Can you prescribe some medicine for me?"
},
{
"role": "assistant",
"content": "I can't find the gynecological gel auxiliary material for this use at the moment."
},
{
"role": "user",
"content": "This ointment is for external application, previously prescribed by the hospital"
},
{
"role": "assistant",
"content": "Do you have Renhe Jiantu medical gynecological gel?"
},
{
"role": "user",
"content": "Sure, please recommend it"
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
39,114
|
Vaginitis
|
[
{
"role": "user",
"content": "Itching down there"
},
{
"role": "user",
"content": "Recently, for about two to three weeks, I've had itching down there occasionally, around two or three times."
},
{
"role": "user",
"content": "I haven't seen a doctor or used any medication."
},
{
"role": "assistant",
"content": "Is it vulvar itching?"
},
{
"role": "user",
"content": "Yes."
},
{
"role": "assistant",
"content": "Have you noticed any abnormalities in your vaginal discharge? Such as increased volume, thickness, color change, foamy or cottage cheese-like discharge, or a fishy odor?"
},
{
"role": "user",
"content": "I've had white discharge every day recently."
},
{
"role": "assistant",
"content": "Have you had sexual intercourse recently?"
},
{
"role": "user",
"content": "Last Saturday."
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies, chronic diseases, or are you in a special period (pregnant, planning to conceive, breastfeeding, etc.)? If not, please reply \"None.\""
},
{
"role": "user",
"content": "None."
},
{
"role": "user",
"content": "My husband has a foreskin, could that be a factor?"
},
{
"role": "user",
"content": "But there were no issues before."
},
{
"role": "user",
"content": "It's just in the past two to three weeks, it started itching occasionally, and the discharge has been present every day."
},
{
"role": "assistant",
"content": "It's possible. If the genital area is not cleaned properly after sexual intercourse, it can easily lead to vaginitis."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
14,485
|
Vaginitis
|
[
{
"role": "user",
"content": "Abnormal vaginal discharge"
},
{
"role": "user",
"content": "Since Sunday"
},
{
"role": "user",
"content": "A few days"
},
{
"role": "user",
"content": "No medication"
},
{
"role": "user",
"content": "Abnormal vaginal discharge"
},
{
"role": "assistant",
"content": "What color is the vaginal discharge?"
},
{
"role": "user",
"content": "Dark color"
},
{
"role": "user",
"content": "A bit of brownish discharge"
},
{
"role": "user",
"content": "But not constant"
},
{
"role": "assistant",
"content": "How long until your next period?"
},
{
"role": "user",
"content": "About ten days"
},
{
"role": "assistant",
"content": "Is the vaginal discharge like curdled milk, watery, or purulent?"
},
{
"role": "user",
"content": "Like curdled milk"
},
{
"role": "assistant",
"content": "Do you experience any itching in the external genitalia?"
},
{
"role": "user",
"content": "No itching"
},
{
"role": "assistant",
"content": "Is there any odor?"
},
{
"role": "user",
"content": "A little"
},
{
"role": "user",
"content": "Lower abdominal pain"
},
{
"role": "assistant",
"content": "Have you had sexual intercourse recently?"
},
{
"role": "user",
"content": "Yes"
},
{
"role": "assistant",
"content": "Have you taken any emergency contraception recently?"
},
{
"role": "user",
"content": "Not this time"
},
{
"role": "user",
"content": "But the partner has a long foreskin"
},
{
"role": "assistant",
"content": "Is the abdominal pain severe?"
},
{
"role": "user",
"content": "Slightly aching"
},
{
"role": "user",
"content": "A bit like the feeling before the period"
},
{
"role": "assistant",
"content": "I am reviewing your symptom description, please wait..."
},
{
"role": "assistant",
"content": "Do you have any history of medical examinations or medication? Any drug allergies, chronic diseases, or special conditions (such as pregnancy or lactation)? If not, please reply \"None\""
},
{
"role": "user",
"content": "None"
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
2,565
|
Vaginitis
|
[
{
"role": "user",
"content": "The vaginal white discharge is like bean curd residue. What medicine should I buy?"
},
{
"role": "assistant",
"content": "Hello, there are currently many people consulting, please be patient."
},
{
"role": "assistant",
"content": "Hello"
},
{
"role": "user",
"content": "The vaginal white discharge is like bean curd residue. What medicine should I buy?"
},
{
"role": "user",
"content": "It's a bit green."
},
{
"role": "assistant",
"content": "Okay"
},
{
"role": "assistant",
"content": "Do you have a sexual history?"
},
{
"role": "user",
"content": "Yes"
},
{
"role": "assistant",
"content": "Have you used any medication for your current symptoms? How long have you been using it? Has the symptom improved after using the medication?"
},
{
"role": "user",
"content": "I haven't bought any medication yet. I don't know what to use."
},
{
"role": "assistant",
"content": "Is there an increase in discharge or any strange odor?"
},
{
"role": "user",
"content": "Is it ketonazole?"
},
{
"role": "assistant",
"content": "Have you experienced the above conditions?"
},
{
"role": "user",
"content": "The odor is not too bad."
},
{
"role": "assistant",
"content": "Could you tell me if you have any cold symptoms, such as a stuffy nose? Runny nose? Cough? (with phlegm?) Sore throat when swallowing? Headache? What is your current temperature?"
},
{
"role": "assistant",
"content": "Do you have any drug allergies, chronic diseases, or are you in a special period (pregnant, planning to conceive, breastfeeding, etc.)? If you are planning to conceive, you need to rule out the possibility of pregnancy."
},
{
"role": "user",
"content": "No."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
37,562
|
Vaginitis
|
[
{
"role": "user",
"content": "Itching in the vulva for about 4 days, heavy white blood cells, and cleanliness level IV."
},
{
"role": "user",
"content": "No medication after the physical examination."
},
{
"role": "assistant",
"content": "What are the main symptoms you are experiencing currently?"
},
{
"role": "user",
"content": "Itching."
},
{
"role": "assistant",
"content": "Have you ever had sexual intercourse?"
},
{
"role": "user",
"content": "No, I have a fixed sexual partner."
},
{
"role": "assistant",
"content": "You have a sexual partner but no sexual intercourse?"
},
{
"role": "assistant",
"content": "Do you have any history of medical examinations or medication use, any history of drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? (Note: For males, this is ignored; mainly check for allergy history and other diseases.)"
},
{
"role": "user",
"content": "I made a mistake, I have a fixed sexual partner, and there has been no sexual intercourse in the past two weeks."
},
{
"role": "assistant",
"content": "Understood."
},
{
"role": "assistant",
"content": "Do you have any history of medical examinations or medication use, any history of drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? (Note: For males, this is ignored; mainly check for allergy history and other diseases.)"
},
{
"role": "user",
"content": "No drug allergies, and I have been sterilized."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
44,498
|
Vaginitis
|
[
{
"role": "user",
"content": "Pain on the left side of the abdomen, feeling like there is some discomfort in the intestines, and a little white and transparent mucus in the stool. What medicine can I take to relieve it?"
},
{
"role": "assistant",
"content": "Can you specify which part of your abdomen is affected?"
},
{
"role": "user",
"content": "Lower left abdomen"
},
{
"role": "user",
"content": "The pain was worse last night, but it improved after having a bowel movement. It still hurts a little."
},
{
"role": "assistant",
"content": "Have you been eating spicy or irritating foods recently?"
},
{
"role": "user",
"content": "My diet has been normal."
},
{
"role": "assistant",
"content": "Do you have symptoms such as heartburn, bloating, belching, nausea, vomiting, or poor appetite?"
},
{
"role": "user",
"content": "No"
},
{
"role": "assistant",
"content": "Do you have symptoms such as frequent urination, urgent urination, or a burning sensation while urinating?"
},
{
"role": "user",
"content": "No"
},
{
"role": "assistant",
"content": "Do you have a history of pelvic inflammatory disease?"
},
{
"role": "user",
"content": "I haven't been checked before, so no."
},
{
"role": "user",
"content": "I recently found out I have a bit of vaginitis. Could this be related?"
},
{
"role": "assistant",
"content": "It cannot be ruled out."
},
{
"role": "assistant",
"content": "Do you have any other discomforts?"
},
{
"role": "user",
"content": "No, nothing else."
},
{
"role": "assistant",
"content": "Do you have a history of medical examinations, medication use, or drug allergies? Do you have any chronic diseases? Are you in a special period (such as pregnancy or breastfeeding, note: not applicable to males)? If there are no such conditions, please reply \"No.\""
},
{
"role": "user",
"content": "I am currently traveling in Yunnan."
},
{
"role": "user",
"content": "No"
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
28,014
|
Vaginitis
|
[
{
"role": "user",
"content": "External genitalia pain"
},
{
"role": "assistant",
"content": "Hello"
},
{
"role": "assistant",
"content": "Is there any abnormal vaginal discharge? Including increased volume, thickness, color change, foamy or cottage cheese-like consistency, or a fishy odor?"
},
{
"role": "user",
"content": "No odor, just the vaginal opening is swollen and a bit painful, and a bit itchy."
},
{
"role": "assistant",
"content": "Got it."
},
{
"role": "assistant",
"content": "Do you have any history of medical examination, medication use, drug allergy, chronic disease, or are you in a special period (such as pregnancy or breastfeeding, males can skip this)? If none of the above apply, you can reply \"None.\""
},
{
"role": "user",
"content": "There's a protrusion in the front part of my vulva, below the labia."
},
{
"role": "user",
"content": "None"
},
{
"role": "user",
"content": "A few days ago, I had intercourse with my partner, and it was very painful afterward for several days."
},
{
"role": "user",
"content": "It hasn't gotten better since then, it's a bit itchy and swollen, with a small lump."
},
{
"role": "assistant",
"content": "I am looking for the appropriate medication, which will take about 1 to 2 minutes. The platform conducts strict qualification checks on all merchants, ensuring they are certified and approved by regulatory authorities, so you can use the medication with peace of mind!"
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
44,046
|
Vaginitis
|
[
{
"role": "user",
"content": "Vaginal itching"
},
{
"role": "assistant",
"content": "Do you have any abnormal vaginal discharge? Including increased volume, thickness, discoloration, foamy or cottage cheese-like, or fishy odor?"
},
{
"role": "assistant",
"content": "Alright"
},
{
"role": "user",
"content": "There was a fishy smell before, and I have been using medication for about a week, but it still itches."
},
{
"role": "assistant",
"content": "Alright"
},
{
"role": "user",
"content": "It just started itching when my period ended."
},
{
"role": "assistant",
"content": "Do you have any abnormal discharge currently?"
},
{
"role": "user",
"content": "I had intercourse after my period ended, and it was a bit painful."
},
{
"role": "user",
"content": "There isn't much discharge, and because I used medication at night, I can't really tell."
},
{
"role": "user",
"content": "It's all medication."
},
{
"role": "assistant",
"content": "Okay, what medication are you using?"
},
{
"role": "user",
"content": "Let me check."
},
{
"role": "assistant",
"content": "Alright"
},
{
"role": "user",
"content": "The two types of medication you recommended last time."
},
{
"role": "assistant",
"content": "Is it Metronidazole?"
},
{
"role": "user",
"content": "I used it for washing and inserting, but it still itches."
},
{
"role": "user",
"content": "Yes"
},
{
"role": "assistant",
"content": "Alright"
},
{
"role": "assistant",
"content": "Have you traveled recently?"
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies, chronic diseases, or are you in a special period (pregnant, fertility preparation, breastfeeding, etc.)? If you are in the fertility preparation period, we need to rule out the possibility of pregnancy."
},
{
"role": "user",
"content": "No"
},
{
"role": "user",
"content": "A few days ago, it was dry."
},
{
"role": "assistant",
"content": "Alright"
},
{
"role": "user",
"content": "It's not dry now."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
45,025
|
Vaginitis
|
[
{
"role": "user",
"content": "Vulvar swelling and pain after sexual intercourse, feeling of heaviness"
},
{
"role": "assistant",
"content": "Hello, could you please describe your symptoms in more detail?"
},
{
"role": "user",
"content": "Since the sexual intercourse the day before yesterday, I've experienced vulvar swelling and pain since early yesterday morning, which continues until now. It's a bit itchy when walking. I consulted a pharmacist this morning, and she recommended Yuren Kangfu ointment. I applied it twice. Now, when I go to the bathroom, I feel that my discharge is a bit yellow. The first wipe feels like there's some pus, and the second wipe feels more watery. I'm wondering if I should continue using this medication or if I need to switch to another one."
},
{
"role": "assistant",
"content": "I suggest you continue using it. Are you taking any oral medications?"
},
{
"role": "user",
"content": "Currently, I have not taken any oral medications. Do I need to take oral medications as well?"
},
{
"role": "assistant",
"content": "Yes, you do. Do you have any medical history of hospital visits and medication use? Any history of drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? If none of the above apply, please reply “None.”"
},
{
"role": "user",
"content": "None"
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
7,275
|
Vaginitis
|
[
{
"role": "user",
"content": "Hello"
},
{
"role": "user",
"content": "I feel a falling sensation in my lower abdomen, and a burning sensation in my vagina."
},
{
"role": "user",
"content": "What medicine should I take?"
},
{
"role": "user",
"content": "What's the situation?"
},
{
"role": "user",
"content": "It's been a few days."
},
{
"role": "assistant",
"content": "Is there any abnormality in your vaginal discharge? Such as increased volume, thick, changed color, foamy or tofu residue-like, or a fishy smell?"
},
{
"role": "user",
"content": "I haven't used any medication."
},
{
"role": "user",
"content": "No."
},
{
"role": "user",
"content": "Nothing."
},
{
"role": "user",
"content": "The vagina is a bit dry."
},
{
"role": "assistant",
"content": "Does this happen after sexual intercourse?"
},
{
"role": "user",
"content": "I guess so."
},
{
"role": "assistant",
"content": "Do you have any abdominal pain?"
},
{
"role": "user",
"content": "No pain."
},
{
"role": "user",
"content": "Just a falling sensation in the lower abdomen and a burning sensation in the vagina."
},
{
"role": "user",
"content": "A bit dry."
},
{
"role": "user",
"content": "Nothing else."
},
{
"role": "user",
"content": "What medicine should I use?"
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies, chronic diseases, or are you in a special period (pregnancy, fertility preparation, or breastfeeding)? If not, you can answer \"no.\""
},
{
"role": "user",
"content": "I am allergic to penicillin."
},
{
"role": "user",
"content": "Nothing else."
},
{
"role": "user",
"content": "Okay, thank you."
},
{
"role": "assistant",
"content": "For your medication safety, purchasing prescription drugs requires further evaluation by a doctor. I hope you can understand.~"
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
34,147
|
Vaginitis
|
[
{
"role": "user",
"content": "External genital itching, yellow vaginal discharge, curd-like secretions"
},
{
"role": "user",
"content": "About a week"
},
{
"role": "user",
"content": "What medicine can be used?"
},
{
"role": "assistant",
"content": "Have you ever had sexual intercourse? This is mainly to check if you can use vaginal medication, with no other implications."
},
{
"role": "user",
"content": "Married, have a child"
},
{
"role": "assistant",
"content": "Have you been eating spicy, greasy, or cold foods?"
},
{
"role": "user",
"content": "I eat a lot of spicy food"
},
{
"role": "assistant",
"content": "To avoid repeated medication, have you used any drugs for treatment? If so, please provide the specific drug names."
},
{
"role": "user",
"content": "But the symptoms have been present for about a week"
},
{
"role": "user",
"content": "Used Red Nucleus Wash Solution"
},
{
"role": "assistant",
"content": "How did the symptoms improve after using the medication?"
},
{
"role": "user",
"content": "They improved"
},
{
"role": "user",
"content": "Used one box and stopped, the symptoms worsened"
},
{
"role": "assistant",
"content": "Have you been checked by a doctor for medication history? Do you have any drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? If not, please reply \"none.\""
},
{
"role": "user",
"content": "None"
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
40,821
|
Vaginitis
|
[
{
"role": "user",
"content": "White, curd-like substance on the vulva"
},
{
"role": "assistant",
"content": "Hello"
},
{
"role": "assistant",
"content": "How long have you been experiencing these symptoms?"
},
{
"role": "assistant",
"content": "Have you had sexual activity?"
},
{
"role": "user",
"content": "Last month, it was inside the vagina. I went to the hospital and got some medicine, and it cleared up inside."
},
{
"role": "user",
"content": "Then I had to travel for business, which made it inconvenient."
},
{
"role": "user",
"content": "Yes"
},
{
"role": "user",
"content": "Now it's just on the vulva."
},
{
"role": "user",
"content": "Is there any medication that can be used for washing?"
},
{
"role": "assistant",
"content": "Alright"
},
{
"role": "assistant",
"content": "Can you please confirm if you have any medical history, drug allergies, chronic conditions, or if you are in a special period (pregnancy, breastfeeding, etc. Note: males can skip this question)? If none of the above apply, you can reply with \"No.\""
},
{
"role": "assistant",
"content": "Okay"
},
{
"role": "assistant",
"content": "I am looking for suitable medication, which will take about 1 to 2 minutes. The Ele.me platform strictly verifies all merchants, ensuring they are certified and licensed by regulatory authorities, so you can use the medication with peace of mind!"
},
{
"role": "assistant",
"content": "For your medication safety, purchasing prescription drugs requires further judgment from a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
11,174
|
Vaginitis
|
[
{
"role": "user",
"content": "My private area is dry and a bit itchy."
},
{
"role": "assistant",
"content": "How long have you been experiencing these symptoms?"
},
{
"role": "user",
"content": "About 5 days after each period."
},
{
"role": "assistant",
"content": "Is there any abnormal vaginal discharge? Such as increased volume, thicker consistency, color change, foamy or curd-like, or fishy odor?"
},
{
"role": "user",
"content": "I haven't noticed the discharge; it feels so dry that I can't feel any discharge."
},
{
"role": "assistant",
"content": "Is there any itching inside the vagina?"
},
{
"role": "user",
"content": "It's on the outside."
},
{
"role": "assistant",
"content": "The labia?"
},
{
"role": "assistant",
"content": "Are there any blisters or sores?"
},
{
"role": "user",
"content": "It hurts a bit inside."
},
{
"role": "user",
"content": "None."
},
{
"role": "user",
"content": "It feels like a burning pain, especially when urinating."
},
{
"role": "user",
"content": "The outside is also very dry."
},
{
"role": "assistant",
"content": "Understood."
},
{
"role": "assistant",
"content": "Do you have any drug allergies, chronic diseases, or are you in a special period (such as pregnancy, pregnancy preparation, or lactation)? If you are in the preparation period, you need to rule out the possibility of being pregnant. For males, ignore pregnancy and lactation. For children, ignore the special period. If none apply, you can answer “No.”"
},
{
"role": "user",
"content": "No."
},
{
"role": "user",
"content": "What could be the issue here?"
},
{
"role": "user",
"content": "Could it be early aging?"
},
{
"role": "assistant",
"content": "It's likely a mild case of vaginitis."
},
{
"role": "user",
"content": "Okay."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
13,735
|
Vaginitis
|
[
{
"role": "user",
"content": "Itching and swelling of the vulva."
},
{
"role": "assistant",
"content": "Hello, please describe the issue you need to consult."
},
{
"role": "assistant",
"content": "How long have the symptoms been present? Are you currently using any medication to avoid repeated use?"
},
{
"role": "assistant",
"content": "Is there an increase in vaginal discharge?"
},
{
"role": "user",
"content": "The vulva itches and feels a bit swollen."
},
{
"role": "user",
"content": "The vaginal discharge is fine, a bit yellow."
},
{
"role": "user",
"content": "The secretions look a bit yellow."
},
{
"role": "user",
"content": "The vaginal discharge is not excessive."
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies?"
},
{
"role": "user",
"content": "No."
},
{
"role": "assistant",
"content": "I have understood your symptoms. Based on the description, certain medications can be used. Please wait for the drug link."
},
{
"role": "user",
"content": "Why does it also itch around the anus?"
},
{
"role": "assistant",
"content": "Do you feel any burning sensation?"
},
{
"role": "user",
"content": "No."
},
{
"role": "user",
"content": "A little when urinating."
},
{
"role": "assistant",
"content": "This could be a fungal infection."
},
{
"role": "user",
"content": "Okay! What medication is better?"
},
{
"role": "assistant",
"content": "I have understood your symptoms. Based on the description, certain medications can be used. Please wait for the drug link."
},
{
"role": "user",
"content": "Alright."
},
{
"role": "assistant",
"content": "For your safety, the purchase of prescription drugs requires further judgment from a doctor. I hope you can understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
20,564
|
Vaginitis
|
[
{
"role": "user",
"content": "Itchiness at the vaginal opening"
},
{
"role": "assistant",
"content": "Hello, please describe the issue you need to consult about."
},
{
"role": "user",
"content": "Vaginal itching, and I feel uncomfortable after urination."
},
{
"role": "assistant",
"content": "How long have the symptoms been present?"
},
{
"role": "user",
"content": "Around 4 days"
},
{
"role": "assistant",
"content": "Are there any other accompanying symptoms? (Please describe all symptoms at once for a more accurate response)"
},
{
"role": "user",
"content": "I have been using Fuyan Clean and Nitrofurantoin Metronidazole Capsules."
},
{
"role": "assistant",
"content": "Have the symptoms improved?"
},
{
"role": "user",
"content": "The vaginal itching has improved. On the first day of using Nitrofurantoin Metronidazole, it didn't itch, but it started itching again on the second day. I have used Nitrofurantoin Metronidazole for two days."
},
{
"role": "assistant",
"content": "Do you have any history of \"medication\" allergies?"
},
{
"role": "user",
"content": "I feel uncomfortable after urination."
},
{
"role": "user",
"content": "No allergies."
},
{
"role": "assistant",
"content": "You can use the following medications (please wait a moment while I find suitable options, it will take about 1-2 minutes!)."
},
{
"role": "assistant",
"content": "For your medication safety, purchasing prescription drugs requires further assessment by a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
35,981
|
Vaginitis
|
[
{
"role": "user",
"content": "Vaginal itching, slight redness and swelling"
},
{
"role": "user",
"content": "It has been about three days, I think I might be allergic to the wash I used before."
},
{
"role": "user",
"content": "I haven’t used that wash in the past few days."
},
{
"role": "user",
"content": "I felt uncomfortable after using it."
},
{
"role": "assistant",
"content": "Is there any abnormal vaginal discharge? For example, increased amount or foamy or cottage cheese-like discharge?"
},
{
"role": "user",
"content": "It's like cottage cheese."
},
{
"role": "user",
"content": "What's going on?"
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies, chronic diseases, or are you in a special period (pregnant, family planning, breastfeeding, etc.)? If you are in the family planning period, we need to rule out the possibility of pregnancy."
},
{
"role": "assistant",
"content": "Considering the presence of cottage cheese-like discharge, it may indicate symptoms of vaginal candidiasis."
},
{
"role": "user",
"content": "No history of allergies, not pregnant, and not planning to conceive."
},
{
"role": "assistant",
"content": "Do you have any other symptoms or discomfort? If not, I can recommend some medications based on your situation."
},
{
"role": "user",
"content": "I was fine a few days ago, I don’t know why it suddenly happened."
},
{
"role": "assistant",
"content": "Have you had sexual intercourse in this period?"
},
{
"role": "user",
"content": "I haven’t had sexual intercourse during this uncomfortable period."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
41,758
|
Vaginitis
|
[
{
"role": "user",
"content": "Increased vaginal discharge with foul odor and itching."
},
{
"role": "assistant",
"content": "Hello, please describe the issue you need to consult about."
},
{
"role": "user",
"content": "Increased vaginal discharge with a foul odor, can I use it?"
},
{
"role": "assistant",
"content": "What specific medication are you referring to? It is not indicated in your information."
},
{
"role": "user",
"content": "Clotrimazole."
},
{
"role": "assistant",
"content": "Do you have a sexual history?"
},
{
"role": "user",
"content": "Yes."
},
{
"role": "assistant",
"content": "Have you had a vaginal discharge test done?"
},
{
"role": "assistant",
"content": "Was it a yeast infection?"
},
{
"role": "user",
"content": "The last test showed inflammation."
},
{
"role": "user",
"content": "It has been recurring."
},
{
"role": "assistant",
"content": "It is not a yeast infection."
},
{
"role": "assistant",
"content": "Clotrimazole is not recommended."
},
{
"role": "user",
"content": "The discharge is like curd."
},
{
"role": "user",
"content": "It wasn't before."
},
{
"role": "assistant",
"content": "Curd-like discharge is not necessarily a yeast infection."
},
{
"role": "assistant",
"content": "Thank you for consulting. I hope this service helps you. If you have any health issues in the future, feel free to contact us. Wishing you a quick recovery, a pleasant life, and all the best."
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies?"
},
{
"role": "user",
"content": "No."
},
{
"role": "assistant",
"content": "I have understood your symptoms. Based on the description, you can use the following medication. Please wait a moment while I provide you with the medication link."
},
{
"role": "user",
"content": "Okay."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
3,437
|
Vaginitis
|
[
{
"role": "assistant",
"content": "Hello, please describe the issue you need to consult about."
},
{
"role": "user",
"content": "Seven months postpartum, I'm experiencing lower abdominal pain, back pain, and vaginal discharge."
},
{
"role": "user",
"content": "Hello."
},
{
"role": "assistant",
"content": "Hello."
},
{
"role": "user",
"content": "After the first period seven months postpartum, I experienced abdominal pain, back pain, and some vaginal discharge."
},
{
"role": "user",
"content": "Can I use Metronidazole effervescent tablets?"
},
{
"role": "assistant",
"content": "Under normal circumstances."
},
{
"role": "assistant",
"content": "It's not recommended to use them during menstruation."
},
{
"role": "user",
"content": "I was scared to go to the hospital, and I haven’t had my period since then."
},
{
"role": "assistant",
"content": "Have you had intercourse?"
},
{
"role": "user",
"content": "Just once, before these seven months."
},
{
"role": "user",
"content": "I had intercourse just once during these seven months."
},
{
"role": "assistant",
"content": "How old is the baby now?"
},
{
"role": "user",
"content": "Seven months old."
},
{
"role": "user",
"content": "I never had any gynecological issues before, but this problem started after giving birth to my second child."
},
{
"role": "assistant",
"content": "What color is the vaginal discharge?"
},
{
"role": "user",
"content": "It’s white, like water, and comes out in a stream."
},
{
"role": "assistant",
"content": "Do you have any allergies to any medications?"
},
{
"role": "user",
"content": "No."
},
{
"role": "user",
"content": "No."
},
{
"role": "user",
"content": "No."
},
{
"role": "assistant",
"content": "Based on your current symptoms, I recommend the following medication treatment. Please wait a moment."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
9,793
|
Vaginitis
|
[
{
"role": "user",
"content": "Dysuria"
},
{
"role": "user",
"content": "Vulvar Itching"
},
{
"role": "user",
"content": "Abnormal vaginal discharge, greenish-yellow"
},
{
"role": "assistant",
"content": "Is there any abnormal vaginal discharge? Such as increased amount, thick, discolored, foamy or curd-like, with a fishy odor?"
},
{
"role": "assistant",
"content": "How long has this been going on? Are there any other discomforts?"
},
{
"role": "user",
"content": "About a week"
},
{
"role": "user",
"content": "Poor appetite"
},
{
"role": "assistant",
"content": "Alright, do you have a history of sexual activity?"
},
{
"role": "user",
"content": "Yes"
},
{
"role": "user",
"content": "I have been taking medication and washing, but it still feels uncomfortable."
},
{
"role": "assistant",
"content": "What medications are you currently using? Please let me know to avoid duplicate recommendations."
},
{
"role": "user",
"content": "Gynecological Qianjin Capsules"
},
{
"role": "user",
"content": "Nakedflower Purplebead Granules"
},
{
"role": "user",
"content": "And a washing agent"
},
{
"role": "user",
"content": "And something for intravaginal use"
},
{
"role": "assistant",
"content": "How long have you been using these medications?"
},
{
"role": "user",
"content": "Just a few days"
},
{
"role": "assistant",
"content": "Do you have any drug allergies, chronic diseases, or are you in a special period (pregnant, planning to conceive, breastfeeding)? If you are in the fertility planning phase, we need to rule out the possibility of pregnancy."
},
{
"role": "user",
"content": "No"
},
{
"role": "assistant",
"content": "For your medication safety, purchasing prescription drugs requires further evaluation by a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
17,666
|
Vaginitis
|
[
{
"role": "user",
"content": "External genital itching, recurring candidiasis before and after menstruation"
},
{
"role": "user",
"content": "For about two years"
},
{
"role": "user",
"content": "Have used some"
},
{
"role": "user",
"content": "It has not improved much"
},
{
"role": "assistant",
"content": "Okay"
},
{
"role": "assistant",
"content": "What medications did you use before? Could you tell me the names to avoid recommending the same ones?"
},
{
"role": "user",
"content": "Clotrimazole, Bifonazole vaginal gel"
},
{
"role": "assistant",
"content": "Understood"
},
{
"role": "assistant",
"content": "Do you have any medical examination and medication history, any drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? If none of these apply, please reply \"None\""
},
{
"role": "user",
"content": "None"
},
{
"role": "user",
"content": "Is there any medication that can cure it completely?"
},
{
"role": "user",
"content": "I don't want it to recur"
},
{
"role": "assistant",
"content": "I am looking for suitable medications, which will take about 1 to 2 minutes. The Ele.me platform strictly verifies the qualifications of all merchants, ensuring they have received certification and permits from regulatory authorities, guaranteeing you safe and reliable medication use!"
},
{
"role": "assistant",
"content": "For a complete cure, a medical consultation is recommended. It cannot be guaranteed that it won't recur, especially as it can be transmitted between partners; both can use medication together."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
22,030
|
Vaginitis
|
[
{
"role": "user",
"content": "Last time on May 8th, I used vaginal medication, and after about half a month, I felt a bit itchy again, and the vaginal discharge was a bit yellow."
},
{
"role": "user",
"content": "Later, the pharmacist prescribed me Yunnan Baiyao Funyan Kang tablets, which I took for two days, but it didn't seem to work. The yellow discharge increased a bit compared to the first two days."
},
{
"role": "assistant",
"content": "Can you describe your specific symptoms?"
},
{
"role": "user",
"content": "The vaginal discharge is yellow."
},
{
"role": "assistant",
"content": "Is there any abnormal vaginal discharge? For example, increased amount, thick, frothy, or curd-like, or with a fishy odor?"
},
{
"role": "assistant",
"content": "Are there any other discomforts?"
},
{
"role": "user",
"content": "It's a bit sticky."
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies, chronic diseases, or are you in any special period (pregnant, trying to conceive, breastfeeding, etc.)? If you are trying to conceive, we need to rule out the possibility of pregnancy. (Men can ignore pregnancy and breastfeeding; children can ignore special periods.) If none, answer \"No.\""
},
{
"role": "user",
"content": "I have hypertension; otherwise, no."
},
{
"role": "assistant",
"content": "Is the itching on the external genitalia or inside the vagina?"
},
{
"role": "user",
"content": "The itching is on the external genitalia."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
17,730
|
Vaginitis
|
[
{
"role": "user",
"content": "I feel itchy down there, and there's a burning sensation when I urinate."
},
{
"role": "assistant",
"content": "Hello, how can I assist you today?"
},
{
"role": "user",
"content": "I feel itchy down there, and there's a burning sensation when I urinate."
},
{
"role": "assistant",
"content": "Is the itching around the vaginal opening or somewhere else?"
},
{
"role": "user",
"content": "It's around the vaginal opening."
},
{
"role": "assistant",
"content": "Is there any abnormal vaginal discharge? Such as increased amount, thick, changed color, foamy or curd-like, or any fishy odor?"
},
{
"role": "user",
"content": "There's no strange smell or anything, just the itchiness. Urinating has been uncomfortable for a few days, and it started itching yesterday."
},
{
"role": "assistant",
"content": "Do you have symptoms like frequent urination, urgency, or difficulty in finishing urination?"
},
{
"role": "user",
"content": "Yes, I do."
},
{
"role": "assistant",
"content": "Alright."
},
{
"role": "assistant",
"content": "Do you have any history of medical examinations, medication use, drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)?"
},
{
"role": "user",
"content": "No"
},
{
"role": "assistant",
"content": "For your medication safety, a prescription drug requires further evaluation by a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
14,296
|
Vaginitis
|
[
{
"role": "user",
"content": "Itching of the labia"
},
{
"role": "assistant",
"content": "Have you used any medications for the current symptoms? Could you please provide the names of the medications to avoid recommending the same ones again."
},
{
"role": "user",
"content": "Hello, doctor. The symptoms have been present for about 3 days. I haven't visited a clinic or used any medication."
},
{
"role": "assistant",
"content": "Is there any abnormal vaginal discharge? Such as increased amount, thick, changed color, foamy or curd-like, or with a fishy odor?"
},
{
"role": "user",
"content": "I've been eating spicy food for the past 4 to 5 days. My anal area feels a bit irritated, and urination is slightly painful and feels spicy."
},
{
"role": "assistant",
"content": "Alright."
},
{
"role": "assistant",
"content": "Are there any other symptoms?"
},
{
"role": "user",
"content": "A while ago, before the current symptoms, my vaginal discharge was a bit curd-like."
},
{
"role": "user",
"content": "No other symptoms."
},
{
"role": "user",
"content": "The degree of itching on the labia is tolerable for now."
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies, chronic diseases, or are you in a special period (pregnancy, preparing for pregnancy, breastfeeding, etc.)?"
},
{
"role": "user",
"content": "No."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
40,441
|
Vaginitis
|
[
{
"role": "user",
"content": "Hello"
},
{
"role": "assistant",
"content": "Hello, is there anything I can assist you with?"
},
{
"role": "assistant",
"content": "Can you describe your symptoms in more detail, please?"
},
{
"role": "user",
"content": "This symptom has been ongoing for about two to three months."
},
{
"role": "user",
"content": "I haven't been to the hospital for a diagnosis yet."
},
{
"role": "user",
"content": "I haven't used any medication either."
},
{
"role": "assistant",
"content": "What specific symptoms are you experiencing?"
},
{
"role": "user",
"content": "I feel a burning sensation and dryness down there."
},
{
"role": "user",
"content": "Today, I confirmed that it is a burning sensation in the vagina."
},
{
"role": "assistant",
"content": "Have you noticed any abnormalities in your vaginal discharge, such as increased volume, thickness, color changes, foamy or curd-like appearance, or a fishy odor?"
},
{
"role": "user",
"content": "I have a slight feeling of incomplete urination and pain when urinating."
},
{
"role": "user",
"content": "The vaginal discharge is a bit greenish-yellow."
},
{
"role": "user",
"content": "I feel a stabbing pain during intercourse."
},
{
"role": "user",
"content": "My menstrual cycle has always been regular, but it was delayed by about two weeks last month."
},
{
"role": "assistant",
"content": "Understood."
},
{
"role": "assistant",
"content": "Do you have any history of medical examinations, medication use, drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? If not, you can reply \"None.\""
},
{
"role": "user",
"content": "None"
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
28,357
|
Vaginitis
|
[
{
"role": "user",
"content": "Recurrent fungal infection, external genital itching"
},
{
"role": "assistant",
"content": "Hello"
},
{
"role": "assistant",
"content": "Have you been diagnosed by a doctor?"
},
{
"role": "assistant",
"content": "Have you had sexual experiences?"
},
{
"role": "user",
"content": "I have two children"
},
{
"role": "user",
"content": "I had an abortion"
},
{
"role": "assistant",
"content": "Okay"
},
{
"role": "assistant",
"content": "How long have you had these symptoms?"
},
{
"role": "assistant",
"content": "Is there any abnormal vaginal discharge? For example, increased amount, thick, changed color, foamy or curd-like, or foul odor?"
},
{
"role": "assistant",
"content": "Did the symptoms start after the abortion? How long ago did you have the abortion?"
},
{
"role": "user",
"content": "I had them before"
},
{
"role": "user",
"content": "The fungal infections keep recurring"
},
{
"role": "assistant",
"content": "Do you have any history of medical examination and medication? Any drug allergies, chronic diseases, or are you in any special period (pregnant, breastfeeding, etc.)? If none of the above, please reply \"No\""
},
{
"role": "user",
"content": "No"
},
{
"role": "assistant",
"content": "I am looking for a suitable medication, which will take about 1-2 minutes. The Ele.me platform strictly verifies the qualifications of all merchants, ensuring they are certified and permitted by regulatory authorities, so you can use the medication with peace of mind!"
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
34,314
|
Vaginitis
|
[
{
"role": "user",
"content": "Vaginal itching—what kind of anti-itch cream is available?"
},
{
"role": "user",
"content": "I used some before, and the effect was good."
},
{
"role": "assistant",
"content": "What specific medication are you looking for?"
},
{
"role": "user",
"content": "Vaginal topical anti-itch."
},
{
"role": "user",
"content": "Can you recommend any such cream?"
},
{
"role": "assistant",
"content": "Yes."
},
{
"role": "assistant",
"content": "Is there an increase in vaginal discharge, does it become sticky, change color, become foamy or resemble tofu residue, or have a foul odor?"
},
{
"role": "user",
"content": "Yes."
},
{
"role": "assistant",
"content": "Have you had sexual intercourse in the past month?"
},
{
"role": "user",
"content": "Not in about a month."
},
{
"role": "assistant",
"content": "Have you ever been seen by a doctor for this, or do you have any history of drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? If not, you can reply \"None.\""
},
{
"role": "user",
"content": "I am only allergic to painkillers, and I am not allergic to anything else."
},
{
"role": "user",
"content": "I have no other diseases."
},
{
"role": "assistant",
"content": "For your medication safety, purchasing prescription drugs requires further evaluation by a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
3,934
|
Vaginitis
|
[
{
"role": "user",
"content": "My symptoms include itching in the external genital area, and there is white discharge with no odor."
},
{
"role": "assistant",
"content": "Hello, currently there are many people waiting for consultation, please be patient."
},
{
"role": "assistant",
"content": "What kind of help do you need?"
},
{
"role": "user",
"content": "My symptoms include itching in the external genital area, and there is white discharge with no odor."
},
{
"role": "assistant",
"content": "Is your vaginal discharge abnormal? For example, increased amount, thick, foamy, or cottage cheese-like, or a fishy smell?"
},
{
"role": "user",
"content": "It has been about three days."
},
{
"role": "user",
"content": "It should be cottage cheese-like, but there is no fishy smell."
},
{
"role": "assistant",
"content": "Have you had sexual intercourse? Do you have any other discomfort?"
},
{
"role": "user",
"content": "It started with some urinary tract infection, then after two days it turned into this."
},
{
"role": "assistant",
"content": "Okay. Do you have any history of drug allergies, chronic diseases, or are you in a special period (pregnant, planning pregnancy, breastfeeding, etc.)? If you are in the planning pregnancy stage, we need to rule out the possibility of pregnancy."
},
{
"role": "user",
"content": "No, there are no other discomforts."
},
{
"role": "user",
"content": "None."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
29,822
|
Vaginitis
|
[
{
"role": "user",
"content": "I'm experiencing some itching, and the discharge looks like tofu residue."
},
{
"role": "user",
"content": "Sometimes it's quite thick."
},
{
"role": "user",
"content": "It's also a bit yellow."
},
{
"role": "assistant",
"content": "Is there any abnormal vaginal discharge? Such as increased volume, thickness, change in color, frothy or tofu residue-like, or a fishy odor?"
},
{
"role": "user",
"content": "The discharge looks like tofu residue, sometimes it's quite thick, and the color is yellow."
},
{
"role": "assistant",
"content": "Have you had sexual intercourse? Are you currently on your period?"
},
{
"role": "user",
"content": "I have had sexual intercourse and I am not currently on my period."
},
{
"role": "assistant",
"content": "Do you have a fever? What is your temperature?"
},
{
"role": "assistant",
"content": "Have you had any medical examinations or medications? Do you have any drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? If not, please reply with \"No.\""
},
{
"role": "user",
"content": "No."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
18,822
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "Today I started having symptoms of a urinary tract infection/bladder infection. I had this before. I just need a few days of antibiotics."
},
{
"role": "user",
"content": "The symptoms started today (a feeling of pressure/urgency to urinate, but then not much comes out.)"
},
{
"role": "user",
"content": "So far I am just drinking a lot of water. I have not been to a doctor today or taken any medicine."
},
{
"role": "user",
"content": "A few years ago I had the exact same thing. I saw a doctor at that time and was prescribed antibiotics for a few days, which cleared the infection."
},
{
"role": "assistant",
"content": "Could you describe the specific symptoms in more detail?"
},
{
"role": "user",
"content": "The symptoms started today (a feeling of pressure/urgency to urinate, but then not much comes out.)"
},
{
"role": "assistant",
"content": "Do you have symptoms such as frequent urination, urgency, pain during urination, or incomplete urination?"
},
{
"role": "user",
"content": "It is also slightly uncomfortable to pee, not quite burning, but an uncomfortable feeling."
},
{
"role": "user",
"content": "Yes, frequent and urgent. Uncomfortable but not painful."
},
{
"role": "user",
"content": "Fortunately, not endless either!"
},
{
"role": "assistant",
"content": "Okay."
},
{
"role": "assistant",
"content": "Do you have any history of medical examinations, medication use, drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? If not, you can reply \"No.\""
},
{
"role": "user",
"content": "No need."
},
{
"role": "assistant",
"content": "Could you please let me know if you have any drug allergies or other conditions?"
},
{
"role": "user",
"content": "I take Sulfasalazine for arthritis."
},
{
"role": "user",
"content": "That is all."
},
{
"role": "user",
"content": "No allergies to medication."
},
{
"role": "assistant",
"content": "Okay."
},
{
"role": "assistant",
"content": "For your medication safety, a prescription requires further evaluation by a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
44,388
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "Lower abdominal pain, pain in the upper left part of the abdomen, weakness"
},
{
"role": "assistant",
"content": "Can you specify the exact area where the pain is located?"
},
{
"role": "user",
"content": "Upper left and lower side"
},
{
"role": "user",
"content": "It started yesterday"
},
{
"role": "user",
"content": "I also vomited yesterday, but not today"
},
{
"role": "assistant",
"content": "Do you have heartburn or belching?"
},
{
"role": "user",
"content": "Sometimes my stomach gurgles"
},
{
"role": "user",
"content": "I've been to the toilet frequently today, just feeling uncomfortable in my stomach"
},
{
"role": "assistant",
"content": "Are you having diarrhea?"
},
{
"role": "assistant",
"content": "Hi, are you there? I need your response to recommend the appropriate medication for you."
},
{
"role": "user",
"content": "No diarrhea"
},
{
"role": "assistant",
"content": "Do you have urgency or pain when urinating?"
},
{
"role": "user",
"content": "I just noticed blood in my urine and I feel an urgency to urinate"
},
{
"role": "assistant",
"content": "Is the bleeding heavy?"
},
{
"role": "user",
"content": "No, it's not heavy"
},
{
"role": "assistant",
"content": "Okay, do you have any other symptoms?"
},
{
"role": "user",
"content": "No, that's all"
},
{
"role": "assistant",
"content": "To avoid taking the wrong medication, have you used any medication before? If so, please tell me the specific names."
},
{
"role": "user",
"content": "No"
},
{
"role": "user",
"content": "What condition could this be?"
},
{
"role": "assistant",
"content": "It might be a urinary tract infection."
},
{
"role": "assistant",
"content": "Have you had any medical examinations or medication history, any drug allergies, or chronic diseases? Are you in a special period (pregnant or breastfeeding)? Note: Males can ignore this."
},
{
"role": "user",
"content": "Why would a urinary tract infection cause stomach discomfort?"
},
{
"role": "assistant",
"content": "Based on your previous description, it could also be gastroenteritis."
},
{
"role": "user",
"content": "Is it serious?"
},
{
"role": "assistant",
"content": "It might not be serious."
},
{
"role": "user",
"content": "Do I need to take any medication?"
},
{
"role": "assistant",
"content": "Have you had any medical examinations or medication history, any drug allergies, or chronic diseases? Are you in a special period (pregnant or breastfeeding)? Note: Males can ignore this."
},
{
"role": "user",
"content": "No"
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
26,520
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "I just consulted."
},
{
"role": "user",
"content": "I want to ask if I need to use external medicine, such as medicine inserted into the vagina."
},
{
"role": "assistant",
"content": "Is there any abnormal vaginal discharge? Such as an increase in volume, thick and viscous, change in color, foamy or like tofu residue, fishy or foul odor?"
},
{
"role": "user",
"content": "My urine is yellow and has an odor."
},
{
"role": "user",
"content": "It's a fishy smell."
},
{
"role": "user",
"content": "I just got a kind of granule medicine."
},
{
"role": "assistant",
"content": "It is recommended to take it orally. External washes can also be used."
},
{
"role": "user",
"content": "It's not a wash, it's medicine inserted into the vagina."
},
{
"role": "assistant",
"content": "I do not recommend vaginal administration."
},
{
"role": "user",
"content": "Is that medicine not good?"
},
{
"role": "assistant",
"content": "You have yellow urine and odor."
},
{
"role": "user",
"content": "I just got that medicine."
},
{
"role": "user",
"content": "The fishy smell is very strong."
},
{
"role": "assistant",
"content": "Vaginal administration is for issues related to vaginitis."
},
{
"role": "assistant",
"content": "You can use a wash."
},
{
"role": "user",
"content": "What does a strong fishy smell indicate?"
},
{
"role": "assistant",
"content": "When urine has an odor, it is usually also quite yellow. This is often caused by being overheated. Drink plenty of water and urinate frequently. It could also be due to inflammation in the body. In daily life, maintain a light diet and avoid spicy and stimulating foods. Eat more fresh fruits and vegetables with a light taste and avoid foods that are easy to cause overheating, which can alleviate the odor in the urine. Drink more water and eat less spicy food."
},
{
"role": "user",
"content": "I already have a light diet."
},
{
"role": "user",
"content": "Yellow urine with odor and a strong fishy smell does not indicate vaginitis, right?"
},
{
"role": "assistant",
"content": "No, it doesn't."
},
{
"role": "user",
"content": "Then please prescribe me some wash."
},
{
"role": "assistant",
"content": "Vaginitis mainly involves abnormal vaginal discharge and vaginal itching."
},
{
"role": "assistant",
"content": "Have you had any medical examinations, used any medications, or have any drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding, mainly to confirm allergy history and other diseases)?"
},
{
"role": "user",
"content": "No itching."
},
{
"role": "user",
"content": "Doctor, please prescribe me some wash."
},
{
"role": "assistant",
"content": "Please wait a moment."
},
{
"role": "user",
"content": "Thank you."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
37,167
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "White liquid appears after urination"
},
{
"role": "assistant",
"content": "Hello, is there anything else I can assist you with? I can provide more specific answers if you give me more details."
},
{
"role": "assistant",
"content": "Are you experiencing urgent or painful urination?"
},
{
"role": "user",
"content": "It's fine, but I do feel the need to urinate."
},
{
"role": "user",
"content": "Not that urgent."
},
{
"role": "user",
"content": "Sometimes it hurts a little at the end of urination, and I can squeeze out some white, sticky liquid."
},
{
"role": "user",
"content": "But it doesn't happen every time."
},
{
"role": "assistant",
"content": "Do you have a long foreskin?"
},
{
"role": "user",
"content": "No."
},
{
"role": "assistant",
"content": "Have you had any unprotected sexual activity?"
},
{
"role": "user",
"content": "No, but my girlfriend likes to touch my foreskin during sleep."
},
{
"role": "assistant",
"content": "Have you had prostatitis before?"
},
{
"role": "user",
"content": "I consulted a doctor, but the medication they recommended wasn't available at our local pharmacy, so I'm asking again. She said it might be a urinary tract infection."
},
{
"role": "user",
"content": "I'm not sure if it's prostatitis. I haven't been checked or taken any medication."
},
{
"role": "user",
"content": "It only started a few days ago."
},
{
"role": "assistant",
"content": "It could be a urinary system infection."
},
{
"role": "user",
"content": "Could you prescribe some medication for me?"
},
{
"role": "assistant",
"content": "Do you have any medical history such as past check-ups, medications, or allergies? Do you have any chronic diseases, or are you in a special period (pregnant or breastfeeding)? For males, just note if you have any allergies or other conditions."
},
{
"role": "user",
"content": "The doctor prescribed Amoxicillin, which I bought, but the other one wasn't available at our local pharmacy."
},
{
"role": "user",
"content": "None."
},
{
"role": "assistant",
"content": "Have you taken it yet?"
},
{
"role": "user",
"content": "Not yet."
},
{
"role": "user",
"content": "I just bought it."
},
{
"role": "user",
"content": "If I don't use it, I can keep it. You can prescribe another medication if you prefer."
},
{
"role": "assistant",
"content": "For your safety, purchasing prescription medication requires further assessment by a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
2,016
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "Frequent urination, inability to fully empty the bladder, lower abdominal distension and pain, feeling of heat and occasional throbbing pain in the urethra."
},
{
"role": "assistant",
"content": "Hello, there are currently a lot of people requesting consultations, please wait patiently."
},
{
"role": "assistant",
"content": "How long have you had these symptoms? Have you taken any medication?"
},
{
"role": "user",
"content": "About a week."
},
{
"role": "user",
"content": "I took Trijin tablets and Levofloxacin hydrochloride capsules."
},
{
"role": "assistant",
"content": "Have they helped?"
},
{
"role": "user",
"content": "During the medication, it improved, but since I ran out of the medication yesterday, I feel uncomfortable again today."
},
{
"role": "assistant",
"content": "It sounds like a urinary tract infection."
},
{
"role": "assistant",
"content": "Have you had any spicy or irritating foods recently?"
},
{
"role": "user",
"content": "I had some grilled fish one night, and the next morning, I held my urine and that's when it started."
},
{
"role": "user",
"content": "I'm not sure if that's the reason."
},
{
"role": "assistant",
"content": "Spicy foods and holding urine can both contribute to this."
},
{
"role": "user",
"content": "I see."
},
{
"role": "user",
"content": "Can you recommend any medication?"
},
{
"role": "user",
"content": "I've been quite uncomfortable today."
},
{
"role": "assistant",
"content": "Sure."
},
{
"role": "assistant",
"content": "Do you have a history of medical examinations, medication use, or drug allergies? Do you have any chronic diseases? Are you in a special period (such as pregnancy or breastfeeding)? Male patients can skip this question. If none of these apply, you can reply \"No.\""
},
{
"role": "user",
"content": "No."
},
{
"role": "user",
"content": "Also, could sexual intercourse be a cause? We had intercourse that night."
},
{
"role": "assistant",
"content": "Yes, that can also be a cause."
},
{
"role": "assistant",
"content": "For your medication safety, you will need a doctor's prescription to purchase prescription drugs. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
24,185
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "Suspected urinary tract infection, pain after urination, frequent urination but in small amounts, paper shows pink, blood spots on the paper."
},
{
"role": "assistant",
"content": "Hello, is there anything else I can assist you with? I can provide a specific answer if you could be more explicit."
},
{
"role": "user",
"content": "Suspected urinary tract infection, pain after urination, frequent urination but in small amounts, paper shows pink, blood spots on the paper. I haven't used any medication yet. This is the first time it happened today, and I haven't been diagnosed."
},
{
"role": "user",
"content": "What medication should I take for this condition?"
},
{
"role": "assistant",
"content": "Have you been eating spicy foods recently?"
},
{
"role": "user",
"content": "My diet usually has a bit of spiciness, and I guess I haven't been drinking enough water in the past few days."
},
{
"role": "assistant",
"content": "Do you have any history of medical examinations, medication use, drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? If there are no such situations, please reply with \"None.\""
},
{
"role": "user",
"content": "No history of medical examinations or medication use, allergic to adhesive plasters, no other allergies. I had intercourse yesterday, I'm not sure if that could have an effect."
},
{
"role": "assistant",
"content": "It might have an effect."
},
{
"role": "user",
"content": "By the way, I am currently experiencing local allergy due to the adhesive plaster."
},
{
"role": "user",
"content": "What medication should I take for a urinary tract infection?"
},
{
"role": "assistant",
"content": "Where exactly is the allergy location?"
},
{
"role": "user",
"content": "On the top of my right foot, because I used a Band-Aid for three consecutive days, which caused an allergic reaction 😢"
},
{
"role": "assistant",
"content": "Understood."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
8,310
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "Lower abdominal pain after urination"
},
{
"role": "assistant",
"content": "Hello, please describe the issue you are currently consulting about."
},
{
"role": "user",
"content": "Lower abdominal pain after urination, and there are pink traces of blood."
},
{
"role": "assistant",
"content": "How long have these symptoms been occurring?"
},
{
"role": "user",
"content": "I woke up with ear and throat pain."
},
{
"role": "user",
"content": "It happened a few months ago, and it started again yesterday."
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies?"
},
{
"role": "user",
"content": "Penicillin."
},
{
"role": "assistant",
"content": "We can use the following medications (please wait a moment, I am looking for suitable medications, it will take about 1-2 minutes!)."
},
{
"role": "user",
"content": "What could be the reason?"
},
{
"role": "assistant",
"content": "Based on your symptoms, it is initially considered to be a urinary tract infection caused by inflammation."
},
{
"role": "user",
"content": "Is it because I have too much heat in my body?"
},
{
"role": "assistant",
"content": "It is possible."
},
{
"role": "user",
"content": "What other causes can lead to infection?"
},
{
"role": "assistant",
"content": "Urinary tract infections are mostly caused by Gram-negative bacilli invading the urinary tract, with a small portion being hospital-acquired infections, complex or recurrent urinary tract infections. Urinary tract infections after urinary tract instrument examination are often caused by enterococci, Proteus, Klebsiella, and Pseudomonas aeruginosa."
},
{
"role": "user",
"content": "How can I prevent it?"
},
{
"role": "assistant",
"content": "We can use the following medications (please wait a moment, I am looking for suitable medications, it will take about 1-2 minutes!)."
},
{
"role": "assistant",
"content": "For your medication safety, purchasing prescription drugs requires further judgment from a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
40,118
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "Today, I didn't see a doctor, and in the afternoon, I suddenly had no urine but frequent urge to urinate."
},
{
"role": "user",
"content": "Could it be a urinary tract infection?"
},
{
"role": "user",
"content": "I haven't had similar experiences before."
},
{
"role": "assistant",
"content": "Have you experienced any pain while urinating?"
},
{
"role": "user",
"content": "No."
},
{
"role": "assistant",
"content": "Have you been sitting for long periods or holding your urine frequently recently?"
},
{
"role": "user",
"content": "I read on TikTok that it might be overactive bladder."
},
{
"role": "user",
"content": "I have been sitting for long periods, and holding urine only a couple of times recently while sleeping, which didn't happen before."
},
{
"role": "assistant",
"content": "This could indicate a urinary tract infection."
},
{
"role": "assistant",
"content": "Do you have any drug allergies, chronic diseases, or are you in a special period (such as pregnancy, planning to get pregnant, or breastfeeding)? If not, you can reply \"No.\""
},
{
"role": "user",
"content": "Do I need to go to the hospital for a diagnosis? Is there any harmless medication to relieve the symptoms first? I can go to the hospital if there are issues over the weekend."
},
{
"role": "user",
"content": "No."
},
{
"role": "user",
"content": "What causes a urinary tract infection? My hygiene habits are pretty good."
},
{
"role": "assistant",
"content": "① It is related to the anatomical features of the female urethra, which is shorter, wider, and straighter, making it easier for bacteria from the perineum and anus to enter the urethra and cause inflammation."
},
{
"role": "assistant",
"content": "For your medication safety, prescription drugs require further evaluation by a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
12,876
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "Dark yellow urine, excessive foam"
},
{
"role": "assistant",
"content": "How long have the symptoms been present? Are there any other discomforts?"
},
{
"role": "user",
"content": "I used Levofloxacin"
},
{
"role": "user",
"content": "No other symptoms"
},
{
"role": "assistant",
"content": "Do you have symptoms such as frequent urination, urgency, pain during urination, or a feeling of incomplete bladder emptying?"
},
{
"role": "user",
"content": "I used to have dribbling after urination, but it's gone now"
},
{
"role": "assistant",
"content": "Do you have any other symptoms, like a stuffy nose, runny nose, cough, throat pain, dizziness, or headache?"
},
{
"role": "assistant",
"content": "Do you have any medical history, drug allergy history, chronic diseases, or are you in a special period (pregnant, breastfeeding, etc. Note: males can ignore this, mainly check for allergies and other diseases)?"
},
{
"role": "user",
"content": "No"
},
{
"role": "user",
"content": "Is excessive foam in the urine due to kidney problems?"
},
{
"role": "assistant",
"content": "Not necessarily. Further tests are needed to determine this."
},
{
"role": "user",
"content": "Oh"
},
{
"role": "user",
"content": "What about the dark yellow urine? I went to a urology hospital before and had a circumcision. I found out online that they overcharge. I only got one cleansing procedure and stopped."
},
{
"role": "user",
"content": "They had me take Levofloxacin"
},
{
"role": "assistant",
"content": "Levofloxacin is for anti-inflammatory purposes."
},
{
"role": "user",
"content": "What about Ningbitai?"
},
{
"role": "assistant",
"content": "You can take it."
},
{
"role": "user",
"content": "This is the urine test report from back then."
},
{
"role": "user",
"content": "Which version of Ningbitai should I buy?"
},
{
"role": "assistant",
"content": "The previous test results cannot be used as a reference this time."
},
{
"role": "user",
"content": "Oh"
},
{
"role": "assistant",
"content": "Sure, sure."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
7,342
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "There is foam in my urine."
},
{
"role": "assistant",
"content": "Hello, can you describe your symptoms in more detail?"
},
{
"role": "user",
"content": "There is foam in my urine."
},
{
"role": "assistant",
"content": "How long has this been going on?"
},
{
"role": "user",
"content": "For a long time."
},
{
"role": "user",
"content": "I had a urinalysis."
},
{
"role": "assistant",
"content": "Did the doctor give any advice?"
},
{
"role": "user",
"content": "They said to have a follow-up test."
},
{
"role": "assistant",
"content": "It might be due to inflammation."
},
{
"role": "user",
"content": "Does that mean there is protein in my urine?"
},
{
"role": "user",
"content": "I'm a bit scared."
},
{
"role": "assistant",
"content": "The protein levels in your urine are a bit high."
},
{
"role": "user",
"content": "Is it a plus (+)?"
},
{
"role": "assistant",
"content": "Yes."
},
{
"role": "assistant",
"content": "Have you taken any long-term medications?"
},
{
"role": "user",
"content": "But he didn't give a diagnosis."
},
{
"role": "user",
"content": "No, I haven't taken any."
},
{
"role": "user",
"content": "I just masturbate a lot."
},
{
"role": "user",
"content": "I have chronic prostatitis, right?"
},
{
"role": "user",
"content": "Masturbate a lot, I guess."
},
{
"role": "user",
"content": "Now I try to control myself."
},
{
"role": "assistant",
"content": "You should go for a follow-up test."
},
{
"role": "assistant",
"content": "Follow the doctor's advice on medication."
},
{
"role": "user",
"content": "There is foam."
},
{
"role": "user",
"content": "Previous urinalysis didn't show anything."
},
{
"role": "user",
"content": "This has appeared now."
},
{
"role": "user",
"content": "I want to try Sanjin tablets, do you think it's useful?"
},
{
"role": "assistant",
"content": "Do you have symptoms like frequent urination, urgency, or burning sensation?"
},
{
"role": "user",
"content": "Yes, I have frequent urination."
},
{
"role": "user",
"content": "I feel like I can't fully empty my bladder."
},
{
"role": "assistant",
"content": "You can take Sanjin tablets to help alleviate the symptoms."
},
{
"role": "assistant",
"content": "Do you have any history of medication, drug allergies, chronic diseases, or are you in a special period (e.g., pregnancy or breastfeeding)? (Note: Ignore the special period for males, mainly check for allergies and other conditions)"
},
{
"role": "assistant",
"content": "Could you please let me know if you have any drug allergies or other conditions?"
},
{
"role": "user",
"content": "None."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
34,727
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "Sudden blood in urine, slight pain during urination, constant urge to use the bathroom"
},
{
"role": "assistant",
"content": "What specific concerns do you have? Could you please describe your symptoms in detail?"
},
{
"role": "user",
"content": "It started today, suddenly noticed blood in my urine."
},
{
"role": "user",
"content": "It hurts a bit when I pee and I keep feeling like I need to go to the bathroom."
},
{
"role": "user",
"content": "Never had this before."
},
{
"role": "user",
"content": "Is it because of too much \"heat\" in the body?"
},
{
"role": "user",
"content": "I ate a lot of lychees today."
},
{
"role": "user",
"content": "There was a light red color when I wiped, not much."
},
{
"role": "user",
"content": "I didn't see any more blood after, but it still hurts when I pee."
},
{
"role": "assistant",
"content": "Was it fresh blood?"
},
{
"role": "user",
"content": "I'm not sure."
},
{
"role": "user",
"content": "It seems to be."
},
{
"role": "user",
"content": "Just a little light pink."
},
{
"role": "assistant",
"content": "Do you have a history of kidney stones?"
},
{
"role": "user",
"content": "No."
},
{
"role": "user",
"content": "I drink a lot of water, several liters a day."
},
{
"role": "assistant",
"content": "Have you ever been to a doctor for exams or medication? Any history of drug allergies or chronic diseases? Are you in any special period (pregnancy, breastfeeding, etc.)? If not, you can reply \"No.\""
},
{
"role": "user",
"content": "No medical exams or medication, no drug allergies, I have gastritis, not in a special period."
},
{
"role": "user",
"content": "I'm still having light pink blood in my urine."
},
{
"role": "user",
"content": "I'm generally in good health, rarely had any diseases before."
},
{
"role": "assistant",
"content": "To ensure your safety in taking medication, purchasing prescription drugs requires further judgment from a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
16,429
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "Hello"
},
{
"role": "user",
"content": "Recently, I noticed a white sticky discharge after urination"
},
{
"role": "assistant",
"content": "Hello"
},
{
"role": "assistant",
"content": "How long have you been experiencing these symptoms?"
},
{
"role": "user",
"content": "I saw online that it might be prostatitis or urethritis"
},
{
"role": "user",
"content": "Do I need to get a check-up at the hospital?"
},
{
"role": "user",
"content": "It has been about three days"
},
{
"role": "assistant",
"content": "Have you used any medication for the symptoms so far? How long have you been using it? Has there been any improvement?"
},
{
"role": "assistant",
"content": "I suggest you could start with some medication and observe the condition."
},
{
"role": "user",
"content": "No, I haven't taken any medication."
},
{
"role": "user",
"content": "What medicine should I take?"
},
{
"role": "assistant",
"content": "Okay"
},
{
"role": "assistant",
"content": "Do you have symptoms such as frequent urination, urgency, dysuria, or incomplete urination?"
},
{
"role": "user",
"content": "Yes"
},
{
"role": "user",
"content": "The dysuria is not very noticeable"
},
{
"role": "user",
"content": "I saw online that it could be gonorrhea"
},
{
"role": "user",
"content": "Isn't this a sexually transmitted disease?"
},
{
"role": "user",
"content": "I am still a virgin"
},
{
"role": "user",
"content": "Damn"
},
{
"role": "assistant",
"content": "Okay"
},
{
"role": "assistant",
"content": "Do you experience any splitting of the urine stream?"
},
{
"role": "user",
"content": "No, I don't think so"
},
{
"role": "user",
"content": "Or it might be not very noticeable"
},
{
"role": "assistant",
"content": "It might be due to a urinary tract infection."
},
{
"role": "user",
"content": "Why did I get an infection?"
},
{
"role": "user",
"content": "I take a shower every day"
},
{
"role": "user",
"content": "Can it be cured with medication?"
},
{
"role": "user",
"content": "I'll go to the hospital tomorrow if it doesn't improve"
},
{
"role": "assistant",
"content": "Okay"
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies, chronic diseases, or long-term medication use?"
},
{
"role": "user",
"content": "No"
},
{
"role": "user",
"content": "I took antibiotics for about half a month before"
},
{
"role": "user",
"content": "For Helicobacter pylori"
},
{
"role": "assistant",
"content": "Okay"
},
{
"role": "user",
"content": "It has been almost two months since I finished the quadruple therapy"
},
{
"role": "assistant",
"content": "Okay, please wait a moment"
},
{
"role": "assistant",
"content": "Generally, this is related to inflammation, infection, low immunity, etc."
},
{
"role": "assistant",
"content": "Generally, this is related to inflammation, infection, low immunity, etc."
},
{
"role": "assistant",
"content": "For your medication safety, the purchase of prescription drugs requires further assessment by a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
41,171
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "What medication should be used for a urinary tract infection?"
},
{
"role": "assistant",
"content": "Do you have symptoms like frequent urination, urgency, pain, difficulty, or burning sensation while urinating?"
},
{
"role": "user",
"content": "Yes"
},
{
"role": "assistant",
"content": "Do you have blood in your urine?"
},
{
"role": "user",
"content": "No"
},
{
"role": "assistant",
"content": "How long have the symptoms been present?"
},
{
"role": "user",
"content": "Since yesterday"
},
{
"role": "assistant",
"content": "Have you sought medical attention and undergone any tests or used any medications? Do you have any drug allergies or chronic diseases? Are you in a special period (such as pregnancy or breastfeeding)?"
},
{
"role": "user",
"content": "No"
},
{
"role": "assistant",
"content": "For your medication safety, purchasing prescription drugs requires further judgment from a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
8,558
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "Since yesterday morning, I've had symptoms of a urinary tract infection. It hurts a lot when I urinate, and taking one ibuprofen helped a bit. Last night, there was some mild pain. This morning, it hurt again when I urinated, and I have been experiencing frequent urination and pain."
},
{
"role": "assistant",
"content": "Have you been eating spicy food?"
},
{
"role": "user",
"content": "Doctor, are you able to view pictures? I just urinated and saw something that looks like a bug on the toilet paper, I’m not sure what it is."
},
{
"role": "user",
"content": "I had mildly spicy food."
},
{
"role": "assistant",
"content": "Sure, I can."
},
{
"role": "user",
"content": "Is this a bug?"
},
{
"role": "assistant",
"content": "The photo isn't very clear. It doesn't look like a bug."
},
{
"role": "user",
"content": "Since yesterday, I've only seen these two foreign objects."
},
{
"role": "assistant",
"content": "Understood."
},
{
"role": "assistant",
"content": "Do you have any medical history of examinations or medication use? Any history of drug allergies, chronic diseases, or are you in a special period (pregnancy, breastfeeding, pre-pregnancy, etc.)? If you are in the pre-pregnancy period, we need to rule out the possibility of pregnancy. If none of the above applies, you can reply “None.”"
},
{
"role": "user",
"content": "I had a urinary tract infection when I was about 13 to 14 years old and don’t remember what medication I took. I only took one ibuprofen yesterday morning. No allergy history, and I’m not in a special period."
},
{
"role": "assistant",
"content": "Understood."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
41,411
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "During my period, I had intercourse, and my menstruation, which was almost over, has become heavier, and I feel like I have a urinary tract infection, which is very uncomfortable."
},
{
"role": "assistant",
"content": "Hello, can you clearly tell me what you need? I will give you accurate and specific answers. I don't want to say something different from what you need. Please understand!"
},
{
"role": "user",
"content": "During my period, I had intercourse, and my menstruation, which was almost over, has become heavier, and I feel like I have a urinary tract infection, which is very uncomfortable."
},
{
"role": "assistant",
"content": "Do you have symptoms such as frequent urination, urgency, pain, or a burning sensation during urination?"
},
{
"role": "user",
"content": "I currently have a burning sensation in my urethra."
},
{
"role": "user",
"content": "No other symptoms."
},
{
"role": "assistant",
"content": "How long have you had these symptoms?"
},
{
"role": "user",
"content": "I just started feeling this today."
},
{
"role": "user",
"content": "About a couple of hours."
},
{
"role": "assistant",
"content": "Have you had any medical examinations, taken any medications, or have any drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? If there are no such conditions, you can reply \"No.\""
},
{
"role": "user",
"content": "No."
},
{
"role": "user",
"content": "I once took Levofloxacin."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
21,832
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "Hello, I've had a urinary tract infection for about a week now. What medicine should I take? I’m also on my period."
},
{
"role": "assistant",
"content": "Do you currently have any symptoms?"
},
{
"role": "assistant",
"content": "Have you taken or used any related medications recently?"
},
{
"role": "user",
"content": "I had an upset stomach yesterday and took some Huoxiang Zhengqi Pills. Nothing else."
},
{
"role": "assistant",
"content": "Do you experience frequent urination, urgency, or pain while urinating?"
},
{
"role": "user",
"content": "Yes."
},
{
"role": "assistant",
"content": "Do you often hold your urine, sit for long periods, or drink insufficient water?"
},
{
"role": "user",
"content": "The pain while urinating is less now."
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies, chronic diseases, or are you in a special period (pregnant, planning to conceive, breastfeeding, etc.)? If you are planning to conceive, we need to rule out the possibility of already being pregnant."
},
{
"role": "user",
"content": "I often sit for long periods, drink normally, and sometimes hold my urine."
},
{
"role": "assistant",
"content": "Please review the questions above. Have you experienced any of the issues mentioned? Please answer truthfully, as this will help us avoid medications that might be harmful to your health."
},
{
"role": "user",
"content": "No drug allergies, not planning to conceive."
},
{
"role": "user",
"content": "No chronic diseases."
},
{
"role": "assistant",
"content": "For your medication safety, purchasing prescription drugs requires further judgment by a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
45,175
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "I have a urinary tract infection."
},
{
"role": "assistant",
"content": "Do you have symptoms such as frequent urination, urgent urination, or a burning sensation while urinating?"
},
{
"role": "user",
"content": "I took Trijin tablets."
},
{
"role": "assistant",
"content": "Are the symptoms still present?"
},
{
"role": "user",
"content": "It feels like there’s a slight sensation of incomplete urination at the end, can’t really describe it. It feels a bit itchy, but not really itchy, more like the itch after urination, hard to describe."
},
{
"role": "user",
"content": "Just took it, not long ago, and I’m thinking if there’s something else I need to take."
},
{
"role": "assistant",
"content": "Do you have a feeling of heaviness in the lower abdomen?"
},
{
"role": "user",
"content": "It seems like that."
},
{
"role": "user",
"content": "And when I hold my urine, I feel the need to go to the toilet after a short while, but there’s nothing."
},
{
"role": "assistant",
"content": "Is there any abnormal vaginal discharge, such as increased amount, thicker consistency, change in color, foamy or curd-like appearance, or a fishy odor?"
},
{
"role": "user",
"content": "There is a fishy odor, it seems to appear after intercourse, so I used a gel."
},
{
"role": "assistant",
"content": "Are there any other symptoms or discomforts?"
},
{
"role": "user",
"content": "Should the other person also pay attention to something?"
},
{
"role": "user",
"content": "It seems there isn’t."
},
{
"role": "assistant",
"content": "Yes, you both can use a wash solution for cleaning."
},
{
"role": "assistant",
"content": "Do you have any history of medical visits, medication use, drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? If none of the above apply, you can reply with \"No.\""
},
{
"role": "user",
"content": "No"
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
41,610
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "This afternoon"
},
{
"role": "user",
"content": "No medication taken"
},
{
"role": "assistant",
"content": "What symptoms are you experiencing now?"
},
{
"role": "user",
"content": "I keep feeling like I need to go to the bathroom, but it's difficult to urinate, and I have pain on the left side of my leg."
},
{
"role": "assistant",
"content": "Do you have any urgency or pain while urinating?"
},
{
"role": "user",
"content": "No, it doesn't seem to be like that. It feels very similar to the symptoms I had about 10 years ago when I had kidney stones."
},
{
"role": "user",
"content": "I can't urinate even though I feel the urge to."
},
{
"role": "user",
"content": "Especially for urination."
},
{
"role": "assistant",
"content": "Have you ever been diagnosed or taken any medication? Do you have any drug allergies, chronic illnesses, or are you in any special period (pregnant, breastfeeding, etc. Note: This is not applicable for males, mainly to check for allergies and other conditions)?"
},
{
"role": "user",
"content": "None"
},
{
"role": "assistant",
"content": "Based on your current symptoms, the medications in the link above are appropriate. They are all suitable for your symptoms. You can refer to them."
},
{
"role": "assistant",
"content": "For your medication safety, purchasing prescription drugs requires further judgment by a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
5,426
|
Urinary tract infection (UTI)
|
[
{
"role": "assistant",
"content": "Hello, please describe the issue you need consultation for."
},
{
"role": "user",
"content": "Some discomfort during urination."
},
{
"role": "user",
"content": "Hello, I have had some discomfort during urination these past few days."
},
{
"role": "assistant",
"content": "How long have the symptoms been present? Have you taken any medication?"
},
{
"role": "user",
"content": "About three days, no medication taken."
},
{
"role": "assistant",
"content": "Based on your symptom description, you can use the following medication, please wait while I send you the medication link."
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies? Any other underlying diseases?"
},
{
"role": "user",
"content": "I only feel a bit of an unusual sensation when I go to the bathroom, not really painful, but slightly prickly. The first day I started feeling this discomfort, the night before, I woke up to use the bathroom three times. The next day, I constantly felt like I needed to use the bathroom, but there wasn't much urine. In the past two days, the frequency of wanting to use the bathroom has decreased a lot, returning to a normal level, but I still feel slightly uncomfortable, with a slight prickly sensation."
},
{
"role": "assistant",
"content": "It is likely caused by a urinary tract infection."
},
{
"role": "user",
"content": "No history of allergies."
},
{
"role": "user",
"content": "I have hepatitis B."
},
{
"role": "user",
"content": "Okay."
},
{
"role": "assistant",
"content": "For your medication safety, purchasing prescription drugs requires further evaluation by a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
3,741
|
Urinary tract infection (UTI)
|
[
{
"role": "assistant",
"content": "Hello, currently there are many people consulting, please wait patiently."
},
{
"role": "user",
"content": "Urine test shows leukocyte esterase +3"
},
{
"role": "user",
"content": "No, I haven't been to the doctor"
},
{
"role": "user",
"content": "No, I haven't taken any medication"
},
{
"role": "user",
"content": "Urine leukocyte esterase +3"
},
{
"role": "user",
"content": "Hello"
},
{
"role": "assistant",
"content": "Have you experienced any of the following symptoms: frequent urination, urgency, dysuria, or incomplete voiding?"
},
{
"role": "user",
"content": "I've had these feelings for a few days, with some frequent urination"
},
{
"role": "user",
"content": "Sometimes I feel urgency, but the amount of urine is small"
},
{
"role": "user",
"content": "Last night, I felt some pain when urinating"
},
{
"role": "user",
"content": "Can you see clearly?"
},
{
"role": "assistant",
"content": "I can see clearly"
},
{
"role": "assistant",
"content": "Have you used any medications during this period?"
},
{
"role": "user",
"content": "No"
},
{
"role": "user",
"content": "I haven't used any other medications"
},
{
"role": "user",
"content": "Hello"
},
{
"role": "assistant",
"content": "Have you taken any antibiotics before? (Antibiotic history: such as amoxicillin, cephalosporin, levofloxacin, clindamycin, roxithromycin, metronidazole, etc.)"
},
{
"role": "user",
"content": "I rarely take such antibiotics"
},
{
"role": "assistant",
"content": "Which ones have you taken?"
},
{
"role": "user",
"content": "Amoxicillin"
},
{
"role": "user",
"content": "I used clindamycin gel to treat acne"
},
{
"role": "assistant",
"content": "Okay"
},
{
"role": "user",
"content": "Okay"
},
{
"role": "assistant",
"content": "For your medication safety, purchasing prescription drugs requires further evaluation by a doctor. I hope you can understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
27,724
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "Painful urination"
},
{
"role": "assistant",
"content": "Hello, is there anything else I can assist you with? Please let me know so I can provide you with a specific answer."
},
{
"role": "user",
"content": "It's the first day of my period, and I have this symptom."
},
{
"role": "user",
"content": "I haven't taken any medication."
},
{
"role": "user",
"content": "It hurts a lot at the end of urination."
},
{
"role": "assistant",
"content": "Do you feel the urge to urinate urgently?"
},
{
"role": "user",
"content": "After urination, I always feel the urge to urinate."
},
{
"role": "assistant",
"content": "Is there any abnormal vaginal discharge? For example, increased amount, viscosity, color change, frothy or cottage cheese-like appearance, or a fishy odor?"
},
{
"role": "user",
"content": "It's the first day of my period, everything was normal yesterday."
},
{
"role": "assistant",
"content": "Have you experienced this before?"
},
{
"role": "user",
"content": "I haven't had this before."
},
{
"role": "assistant",
"content": "To avoid repeated medication, have you used any medications for treatment? If so, please inform me of the specific names of the drugs."
},
{
"role": "user",
"content": "I haven't used anything."
},
{
"role": "assistant",
"content": "Have you been to the hospital for examination and treatment? Do you have any drug allergy history, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? (Note: Males can ignore this, mainly checking for allergy history and other diseases.)"
},
{
"role": "user",
"content": "No"
},
{
"role": "user",
"content": "Just my period started."
},
{
"role": "assistant",
"content": "For your medication safety, the purchase of prescription drugs requires further judgment by a doctor. I hope you can understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
27,998
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "Urethral itching, frequent urination"
},
{
"role": "user",
"content": "All night"
},
{
"role": "assistant",
"content": "Do you have urgency, dysuria, or incomplete voiding?"
},
{
"role": "user",
"content": "No"
},
{
"role": "user",
"content": "It might be because I didn't wash my hands before changing my underwear"
},
{
"role": "assistant",
"content": "Do you have abdominal pain or bloating?"
},
{
"role": "user",
"content": "No"
},
{
"role": "user",
"content": "Is it a fungal infection?"
},
{
"role": "user",
"content": "It's just been constantly itchy. I still feel itchy after going to the bathroom and lying in bed, and I feel like I need to go to the bathroom."
},
{
"role": "assistant",
"content": "Is there any abnormal discharge, such as thick and creamy like tofu residue, yellow-green frothy, or grayish-white thin with a fishy smell?"
},
{
"role": "assistant",
"content": "It seems like urethritis."
},
{
"role": "assistant",
"content": "It seems like urethritis."
},
{
"role": "assistant",
"content": "Have you had any medical examinations or medication history? Any drug allergy history, chronic diseases, or are you in a special period (such as pregnancy, breastfeeding; note: this does not apply to males or children)? If none of the above applies, you can reply \"None.\""
},
{
"role": "user",
"content": "Allergy to sulfonamides"
},
{
"role": "user",
"content": "Yesterday, I took two tablets of amoxicillin, which is supposed to be antibacterial and anti-inflammatory, but it doesn't seem to work."
},
{
"role": "user",
"content": "It started right after I changed my underwear yesterday."
},
{
"role": "user",
"content": "And it's not as itchy when I take off my pants to use the bathroom, just a slight feeling."
},
{
"role": "assistant",
"content": "Do you have a rash on the skin?"
},
{
"role": "user",
"content": "No"
},
{
"role": "user",
"content": "I just feel like I can't hold my urine and need to go to the bathroom all the time."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
36,990
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "Frequent urination, yellowish and turbid urine, sediment present"
},
{
"role": "assistant",
"content": "How long have the symptoms been going on?"
},
{
"role": "user",
"content": "For about two weeks"
},
{
"role": "assistant",
"content": "Do you experience urgency or pain while urinating?"
},
{
"role": "user",
"content": "I often feel the urge to urinate in the morning and wake up feeling uncomfortable."
},
{
"role": "user",
"content": "The pain is bearable."
},
{
"role": "assistant",
"content": "Are there any other symptoms?"
},
{
"role": "user",
"content": "It gets better after taking medicine."
},
{
"role": "assistant",
"content": "Do you have any history of medical examination, medication use, drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? For men, we can ignore the pregnancy and breastfeeding status, but please let me know if there are any allergies or other conditions."
},
{
"role": "user",
"content": "The urine is quite turbid, but it improves significantly after taking the medication."
},
{
"role": "user",
"content": "I have been taking this medication."
},
{
"role": "assistant",
"content": "Alright."
},
{
"role": "assistant",
"content": "Do you have any history of medical examination, medication use, drug allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? For men, we can ignore the pregnancy and breastfeeding status, but please let me know if there are any allergies or other conditions."
},
{
"role": "assistant",
"content": "Anything else?"
},
{
"role": "user",
"content": "None"
},
{
"role": "user",
"content": "The color is much lighter now, it was quite yellow before taking the medication."
},
{
"role": "assistant",
"content": "For your medication safety, purchasing prescription drugs requires further judgment from a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
38,361
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "Frequent urination, pain during urination, a little blood, and itching."
},
{
"role": "user",
"content": "Recently,"
},
{
"role": "user",
"content": "There has been pain during urination."
},
{
"role": "assistant",
"content": "Do you experience urgency or difficulty in fully emptying your bladder?"
},
{
"role": "user",
"content": "Frequent urination, always feeling like I need to use the toilet."
},
{
"role": "user",
"content": "But there's only a little each time."
},
{
"role": "assistant",
"content": "Do you see blood in the urine?"
},
{
"role": "assistant",
"content": "Any history of kidney stones?"
},
{
"role": "user",
"content": "No blood in the urine, but there's blood on the toilet paper."
},
{
"role": "user",
"content": "No blood in the urine."
},
{
"role": "user",
"content": "Normal color."
},
{
"role": "user",
"content": "Pain during urination."
},
{
"role": "user",
"content": "Previously, it was itchy."
},
{
"role": "assistant",
"content": "Any history of kidney stones?"
},
{
"role": "user",
"content": "No."
},
{
"role": "user",
"content": "But"
},
{
"role": "user",
"content": "It was better for a few days."
},
{
"role": "assistant",
"content": "Any history of medical examinations, medications, drug allergies, chronic diseases, or special periods (such as pregnancy or breastfeeding)? If not, you can reply with \"None.\""
},
{
"role": "user",
"content": "The frequent urination and pain during urination started again today."
},
{
"role": "user",
"content": "None."
},
{
"role": "user",
"content": "What could be causing this?"
},
{
"role": "user",
"content": "I feel like I always need to use the toilet and can't hold it."
},
{
"role": "user",
"content": "Is it a urinary tract infection?"
},
{
"role": "assistant",
"content": "It is likely a urinary tract infection."
},
{
"role": "user",
"content": "I use a toilet seat."
},
{
"role": "assistant",
"content": "Yes."
},
{
"role": "user",
"content": "Is it caused by the toilet seat?"
},
{
"role": "user",
"content": "But I also disinfect it."
},
{
"role": "assistant",
"content": "For your safety, purchasing prescription medication requires further assessment by a doctor. I hope you understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
4,296
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "Since yesterday, I feel like I need to go to the toilet again after using it, but each time it's just a little urine."
},
{
"role": "assistant",
"content": "Have you used any medication before for the current symptoms? Could you please provide the names of the medications to avoid recommending the same ones again?"
},
{
"role": "user",
"content": "No medication."
},
{
"role": "assistant",
"content": "Is your stool well-formed?"
},
{
"role": "user",
"content": "What do you mean?"
},
{
"role": "assistant",
"content": "Is the shape of your stool normal?"
},
{
"role": "user",
"content": "It's pretty normal, I guess. I haven't really paid attention."
},
{
"role": "assistant",
"content": "Do you have symptoms like frequent urination, urgent urination, painful urination, or feeling of incomplete voiding?"
},
{
"role": "user",
"content": "Frequent urination and feeling of incomplete voiding."
},
{
"role": "user",
"content": "Basically, I want to go again right after I finish."
},
{
"role": "user",
"content": "I only get a little bit when I come to the toilet."
},
{
"role": "user",
"content": "But it's really uncomfortable if I don't go."
},
{
"role": "assistant",
"content": "Understood."
},
{
"role": "assistant",
"content": "Have you taken any antibiotics before? (Antibiotic use history within the past year: such as amoxicillin, cephalosporin, levofloxacin, clindamycin, roxithromycin, metronidazole, etc.)"
},
{
"role": "user",
"content": "No."
},
{
"role": "assistant",
"content": "Do you have any history of medical consultations, medication allergies, chronic diseases, or are you in a special period (such as pregnancy or breastfeeding)? Men and children can ignore this part, mainly to confirm allergy history and other diseases."
},
{
"role": "user",
"content": "None."
},
{
"role": "user",
"content": "What's wrong with me?"
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
24,289
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "Yesterday, I held my urine while driving, and in the evening, I felt like I had a urinary tract infection. I took Norfloxacin, but it didn't help much."
},
{
"role": "assistant",
"content": "Do you have symptoms such as frequent urination, urgency, pain, incomplete voiding, or burning sensation?"
},
{
"role": "user",
"content": "Today, I feel like I want to sit on the toilet all day."
},
{
"role": "user",
"content": "I have painful urination and lower body discomfort."
},
{
"role": "assistant",
"content": "What color is your vaginal discharge?"
},
{
"role": "user",
"content": "The vaginal discharge is normal."
},
{
"role": "user",
"content": "Is there any medicine to relieve the symptoms?"
},
{
"role": "assistant",
"content": "Have you had any previous medical consultations, medications, or drug allergies? Are you in a special period (such as pregnancy or breastfeeding)? If you are a male, ignore this part. If there are no such conditions, you can reply with \"None.\""
},
{
"role": "user",
"content": "None"
},
{
"role": "user",
"content": "Today, I keep wanting to go to the toilet, but there's hardly any urine."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
37,192
|
Urinary tract infection (UTI)
|
[
{
"role": "user",
"content": "Blood in urine about four or five days ago, still feeling discomfort while urinating today despite drinking plenty of water, abdominal pain, and pain in both kidneys."
},
{
"role": "assistant",
"content": "Have you ever been diagnosed with kidney stones before?"
},
{
"role": "user",
"content": "No"
},
{
"role": "assistant",
"content": "No"
},
{
"role": "assistant",
"content": "Is the pain in both kidneys quite obvious?"
},
{
"role": "user",
"content": "The cause might be holding urine for too long, around the 10th of this month."
},
{
"role": "user",
"content": "I have another question."
},
{
"role": "user",
"content": "Sorry."
},
{
"role": "assistant",
"content": "Have you taken any medication so far?"
},
{
"role": "user",
"content": "Trijin tablet"
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies, chronic diseases, or are you in a special period (such as pregnancy, preparing for pregnancy, or breastfeeding)? If you are in the pregnancy preparation period, you need to rule out the possibility of pregnancy. If none of the above apply, you can reply with \"No\"."
},
{
"role": "user",
"content": "Apologies, it's actually the left kidney that hurts."
},
{
"role": "user",
"content": "Bladder pain."
},
{
"role": "user",
"content": "I took ibuprofen because of menstruation."
},
{
"role": "assistant",
"content": "Do you have any history of drug allergies, chronic diseases, or long-term medication use?"
},
{
"role": "user",
"content": "No"
},
{
"role": "assistant",
"content": "When was the last time you took it?"
},
{
"role": "user",
"content": "Which medicine?"
},
{
"role": "assistant",
"content": "Ibuprofen"
},
{
"role": "user",
"content": "The day before yesterday"
},
{
"role": "user",
"content": "I also feel pain around the stomach area."
},
{
"role": "assistant",
"content": "Understood."
},
{
"role": "assistant",
"content": "For your medication safety, purchasing prescription drugs requires further judgment from a doctor. I hope you can understand."
},
{
"role": "assistant",
"content": "<med_search>"
}
] |
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